摘要
目的:利用名老中医结构化病历数据库,开展中医证候诊断标准的适用性研究。方法:采用"名老中医临床诊疗信息采集系统"录入医案,使症状、舌脉等临床信息形成关系数据库。结果:A组按照《标准》判断与其符合者为155例,符合率为16.01%(155/968),175诊次,符合率为9.35%(175/1870);B组按照《标准》判断的结果98.34%与专家判断一致,同时,《标准》将1.66%的诊次判断为肝脾不调证。结论:证候诊断标准与专家判断符合率低,标准不能适应临床实际的需要,今后应采用专家共识结合临床实际数据的方法,研究形成基于不同层次的中医证候诊断标准,提高中医证候诊断标准的普适性。
The applicability of diagnostic criteria was studied by a group of well-known veteran doctors of TCM. The clinical data was collected and changed into structural information, which was then standardized. The result showed that in group A, only 155 cases showed SLSD according to the DC, with a consistency rate of 16.01% （155/ 968）, and 175 encounters showed SLSD, with a consistency rate of 9.35% （175/1870）. In group B , 95.82% of the cases （98.34% of the encounters） were consistent with the expert decision, and 4.18% of the cases （1.66% of the encounters） had SLSD according to the DC, but not consistent with the expert decision. As a result, the DC do not have a good consistency with the expert consensus, so the DC will not be applicable as the clinical criterion. It would be helpful to combine the expert consensus with the clinical date to establish syndrome criteria with high applicability.
出处
《世界科学技术-中医药现代化》
2010年第2期181-184,共4页
Modernization of Traditional Chinese Medicine and Materia Medica-World Science and Technology
基金
北京市科学技术委员会科技计划项目(D08050703020803):名老中医临床诊疗信息采集及经验挖掘研究
负责人:王映辉
科技部国家"十一五"科技支撑计划课题(2007BAI10B06-01):名老中医学术思想临证经验现代分析挖掘方法研究
负责人:王映辉
科技部国家"十一五"科技支撑计划课题(2007BAI10B01-00):名老中医典型医案及经验方研究
负责人:姚乃礼
关键词
证候诊断标准
肝脾不调证
适用性研究
Diagnostic criteria of syndrome, Syndrome of disharmony of liver and spleen, Study of applicability
