摘要
目的 :检验抑郁症常见中医证候临床流行病学调查表的可靠性。方法 :随机选择 30例抑郁症患者 ,分别由两名专家对同一病例 ,同时进行调查 ,然后计算其中主要指标的一致系数 (Kappa ,κ值 )。结果 :各组专家对抑郁症的西医诊断的一致性最高 (κ=1.0 ) ;中医辨证、中医证候指标总积分及情志抑郁、烦躁等 5项主要证候指标具有高度的一致性 (0 .6 <κ <0 .8) ;而少寐、纳差及汉密尔顿 (HAMD)抑郁量表评定总分亦具有中度的—致性 (0 .4 <κA <0 .6 )。结论 :抑郁症常见中医证候临床流行病学调查表具有较好的可靠性和实用性。
Objective:To check the reliability of investigation table of clinic epidemiology on common TCM syndromes of depression.Methods: Thirty depression patients were selected randomly and investigated by two experts respectively at the same time using the investigation table. The Kappa (κ) values of the main indexes in the table were reckoned out.Results:The diagnosis of western medicine on depression has the highest consistence (k=-1.0). Differentiations of TCM syndromes, total scores of syndromes of TCM and the five main indexes of it have the higher consistence (0.6<κ<0.8). Insomnia, dyspepsia and total scores of HAMD depression table have also appropriate consistence (0.4<κ<0.6).Conclusions:The investigation table of clinic epidemiology on common TCM syndromes of depression has better reliability and utility.
出处
《中国现代医学杂志》
CAS
CSCD
2003年第14期32-33,共2页
China Journal of Modern Medicine
基金
"十五"国家科技攻关项目 (编号 2 0 0 1BA70 1A2 2 )内容之一
关键词
抑郁症
中医证候
临床流行病学
一致性检验
Depression
Syndrome of Traditional Chinese Medicine
Clinic Epidemiology
Consistence Check
