摘要
目的:确立不完全性脊髓损伤中医证候分级量化标准。方法:采取人工检索和计算机检索、网络检索相结合的方法查询古代文献数据库、现代文献数据库相关文献,检索词为"痿病"或"脊髓损伤",提取证候因素20个,包括主症4个,次症16个,影像学分级4个。对证候的严重程度进行分级并赋分,编制证候量化分级量表。通过Delphi专家问卷调查和会审讨论相结合的方式进行研讨,包括确立每个证候量化方法,对定性证候轻重程度层次分析量化标准中的各层次评价指标进行权重估计,初步构建定性证候轻重程度量化评价标准。结果:初步构建不完全性脊髓损伤中医证候分级量化标准。结论:不完全性脊髓损伤的中医证候分级量化标准为规范判断不完全性脊髓损伤患者病情的轻重程度、发展趋势、临床疗效进行初步、有益的探索。
Objective：To establish the quantitative standard of Traditional Chinese Medicine（TCM） symptom classification of incomplete spinal cord injury. Methods：The ancient and modern literatures were searched by adopting artificial retrieval,computer retrieval and network retrieval method,with the key words of ＂atrophy disease＂ or ＂spinal cord injury＂. Syndrome factors of 20 were extracted,including 4 main symptoms,16 secondary symptoms and 4 radiographic grade. Through the way of a combination of Delphi expert questionnaire and discussion,the quantitative criteria of each symptom was established,weight estimation for the evaluation index in quantitative criteria of the qualitative syndrome severity levels was conducted,and a preliminary qualitative syndrome severity evaluation standard was constructed. Results：Through the above procedures,the quantitative standard of TCM symptom classification of incomplete spinal cord injury was preliminarily constructed. Conclusion：The establishment of the quantitative criteria for the classification of TCM symptoms of incomplete spinal cord injury can preliminarily provide some reference for judging the severity,developing trend and clinical effect of the patients with incomplete spinal cord injury.
出处
《康复学报》
2016年第1期15-19,24,共6页
Rehabilitation Medicine
基金
国家中医药管理局中医药标准化建设项目[SATCM-2015-BZ(141)]
关键词
脊髓损伤
不完全性
痿病
证候分级量化
spinal cord injury
incomplete
atrophy disease
symptom quantitative classification
