出血性中风瘀热病机单元测量量表的研究

李国春; 周学平; 王均琴; 过伟峰; 叶放; 吴勉华; 金妙文

出血性中风瘀热病机单元测量量表的研究

1.
南京中医药大学中医统计研究和咨询中心，江苏南京 210023
2.
南京中医药大学第一临床医学院，江苏南京 210023

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出版历程
- 收稿日期: 2015-04-08
- 修回日期: 2015-07-30
- 刊出日期: 2015-09-10

Research on Measuring Scale for Pathogen Unit of Hemorrhagic Stroke Due to Heat-Stasis

1.
Statistical Research and Consulting Center, Nanjing University of Chinese Medicine, Nanjing, 210023, China
2.
The First Clinical Medical College of Nanjing University of Chinese Medicine, Nanjing, 210023, China

摘要

摘要: 目的制定出血性中风瘀热病机单元的测量量表，探索瘀热病机的客观、规范和定量测量方法。方法采用量表标准制作程序设计测量问卷，应用三轮专家咨询方法筛选瘀热表征信息，形成量表条目池。采用临床流行病学/DME的方法现场采集出血性中风瘀热病机相关条目4个时间点测量数据，评价量表的信度、效度和适用性。结果通过主观评价法和基于重要性评价的逐步筛选法获得32个瘀热密切相关的表征信息，形成了出血性中风瘀热量表初表的条目池，分属于血热、血瘀和神志3个维度。通过临床样本的测试进一步优化了量表，所得量表的25个条目有较高的测量信度和效度。结论初步建立了一套出血性中风瘀热病机单元的测量工具，量表显示神志变化是出血性中风瘀热病机区别于其它疾病的重要表征。
- 出血性中风 /
- 瘀热 /
- 机元量表 /
- 测量
Abstract: OBJECTIVE To establish measuring scale for the pathogen unit of heat-stasis on hemorrhagic stroke and explore the objective， standard and quantitative method for measuring heat-stasis pathogenesis. METHODS Measuring questionnaire was designed according to the production process of standard scale， and heat-stasis information representation was selected through three rounds of expert consultation， so as to establish the entry pool of scale. Related metrical data of hemorrhagic stroke due to heat-stasis was collected on spots with the clinic epidemiology/DME principles for 4 times， and the credibility， validity and applicability of scale were assessed. RESULTS By applying the method of subjective evaluation and step screening based on importance evaluation， the original entry pool of scale concerning hemorrhagic stroke due to heat-stasis was established， which included 32 information representations， belonging to the dimension of blood heat， blood stasis and consciousness respectively. And the scale was further optimized after testing the clinical samples， with 25 items of higher credibility and validity were chosen. CONCLUSION We have preliminarily established a set of measuring tool for the pathogen unit of heat-stasis on hemorrhagic stroke， and the scale shows that consciousness change is an important representation in distinguishing hemorrhagic stroke due to heat-stasis from other diseases.
- hemorrhagic stroke /
- heat-stasis /
- pathogen unit /
- measurement

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参考文献(12)

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