代谢综合征痰瘀互结证量化诊断标准的研究
Study on Quantitative Diagnostic Criteria of Phlegm-stasis Interjunction Syndrome of Metabolic Syndrome
刘亚丹 1王斌 2燕树勋 3段飞3
作者信息
- 1. 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
- 2. 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
- 3. 河南中医药大学第一附属医院 郑州 450000
- 折叠
摘要
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.
Abstract
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.
关键词
代谢综合征/痰瘀互结证/量化诊断标准/层次分析法Key words
Metabolic syndrome/Phlegm-stasis interjunction syndrome/Quantitative diagnostic criteria/Analytic hierarchy process引用本文复制引用
基金项目
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)(CZ0237-02)
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(2021KJHM0017)
出版年
2024
NETL
NSTL
万方数据