摘要
目的:建立冠心病心绞痛(气虚血瘀证)症状疗效评分量表。方法:症状评分与其发生率(频率)、重要性(专家评定)及严重性(轻中重)有关,根据以上3种因素(因子)的症状评分数学模型,形成冠心病心绞痛(气虚血瘀证)中医症状的评分量表,通过信度、效度、反应度的评价,确认其可行性和合理性。结果:6个症状(胸痛、胸闷、心悸、气短、神疲乏力、唇色紫暗)作为疗效评分症状群,根据其发生率、重要性和严重性确定了各自权重因子和量表等级分值。信度结果可靠,一致性良好,反应灵敏。结论:冠心病心绞痛(气虚血瘀证)中医症状疗效评分量表,可为此类临床研究提供一个应用工具。
AIM： To develope a symptom scale for evaluating efficacy of coronary angina pectoris and Qideficiency combined with stagnation of blood. METHODS： The symptom score is always related with its incidence rate （frequency）, its importance （evaluated by experts） and its serious degree （light, moderate and serious） in a measuring scale, and a mathematical model was used to calculate the weight factor and its score for each symptom in the scale. In an example of coronary angina pectoris and Qi-deficiency combined with stagnation of blood trial was analyzed based on the scale, and the scale was evaluated with the reliability, the validity, and the responsibility to change. RESULTS： Six symptoms （ chest pain, chest distress, palmus, short breath, debilitation, and cyanosis）were selected as indices, and their weight factors and grades were calculated in a score scale. Some evaluations demonstrated that the approach showed a better feasibility, uniformity, and responsibility to change. CONCLUSlON： This scale can be used to evaluating the efficacy of coronary angina pectoris and Qi-deficiency combined with stagnation of blood in traditional Chinese medicine.
出处
《中国临床药理学与治疗学》
CAS
CSCD
2008年第7期786-791,共6页
Chinese Journal of Clinical Pharmacology and Therapeutics
基金
上海市教委重点学科项目(J50303)
上海市重点学科建设项目Y0302)
国家科技支撑计划项目(2006BAI08B04-7)
上海市高校研究院项目(E0308)
关键词
冠心病
心绞痛
气虚血瘀证
量表
信度
效度
反应度
权重因子
coronary artery disease
angina pecto-ris
Qideficiency combined with stagnation of blood
scale
reliability
validity
responsibility to change
weight factor
