首页|代谢综合征痰瘀互结证量化诊断标准的研究

代谢综合征痰瘀互结证量化诊断标准的研究

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目的 确定代谢综合征痰瘀互结证量化诊断标准。方法 基于文献研究制定《基于层次分析法的MS痰瘀互结证专家咨询问卷》,邀请专家填写问卷,采用专家群决策算法构建《MS痰瘀互结证诊断标准(草案)》。前瞻性收集MS患者,采用条件概率换算法、最大似然判别法对MS痰瘀互结证诊断标准进行临床验证并修订,制定MS痰瘀互结证量化诊断标准。结果 建立的MS痰瘀互结证量化诊断标准诊断效能灵敏度95。7%,特异度84。0%,准确度91。6%,阳性似然比5。98,阴性似然比19。46。结论 基于文献研究、专家咨询法及诊断性试验建立的MS痰瘀互结证量化诊断标准具有较好的诊断效能。
Study on Quantitative Diagnostic Criteria of Phlegm-stasis Interjunction Syndrome of Metabolic Syndrome
Objective To determine the quantitative diagnostic criteria of phlegm-stasis interjunction syndrome of metabolic syndrome.Methods Based on the literature research,the Expert Consultation Questionnaire for MS Syndrome of Phlegm-stasis Interjunction based on Analytic Hierarchy Process was developed.Experts were invited to fill out the questionnaire,and the Diagnostic Criteria for MS Syndrome of Phlegm-stasis Interjunction(Draft)was constructed by using the expert group decision algorithm.The patients with MS were prospectively collected,and the diagnostic criteria for phlegm-stasis interjunction syndrome of MS were validated and revised by conditional probability conversion method and maximum likelihood discrimination,and the quantitative diagnostic criteria for phlegm-stasis interjunction syndrome of MS were finally formulated.Results The sensitivity,specificity and accuracy of the established quantitative diagnostic criteria for MS phlegm-stasis interjunction syndrome were 95.7%,84.0%,91.6%,positive likelihood ratio 5.98,negative likelihood ratio 19.46.Conclusion The quantitative diagnostic criteria for MS phlegm-stasis interjunction syndrome established based on literature research,expert consultation and diagnostic tests have good diagnostic efficacy.

Metabolic syndromePhlegm-stasis interjunction syndromeQuantitative diagnostic criteriaAnalytic hierarchy process

刘亚丹、王斌、燕树勋、段飞

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河南中医药大学第一附属医院 郑州 450000

天津中医药大学第一附属医院 天津 300381

国家中医针灸临床医学研究中心 天津 300381

代谢综合征 痰瘀互结证 量化诊断标准 层次分析法

河南省卫生健康委河南省中医药拔尖人才培养项目(第二批)河南省中医药传承与创新人才培养项目郑州市科技局郑州市科技惠民计划

CZ0237-022021KJHM0017

2024

世界科学技术-中医药现代化
中科院科技政策与管理科学研究所,中国高技术产业发展促进会

世界科学技术-中医药现代化

CSTPCD北大核心
影响因子:1.175
ISSN:1674-3849
年,卷(期):2024.26(1)
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