Syndrome Index System Screening Based on Expert Questionnaire of Correspondence Between Traditional Chinese Medicine Syndrome and Symptom of Sub-health

Abstract

目的:筛选亚健康中医证候指标,建立亚健康证-症对应关系。方法:采用专家问卷调查,考核专家权威系数、协调系数,运用均值,等级和,满分比等方法对亚健康脾气虚证、心气虚证、肺气虚证、肝气郁结证、火证和湿证6个中医证候对应的63个症状进行筛选。共有40位专家参与此次问卷调查。结果:问卷回收率为87.5%,34份有效问卷参与统计分析。问卷单个领域和总体的权威系数均≥0.8,问卷单个领域和总体的专家协调系数检验均具有统计学意义(P<0.01),问卷总体的专家协调系数为0.479。经过筛选,最后筛选出6个亚健康证候所对应的43项症状指标。结论:在保证专家群体具有较高权威性、协调性的情况下,运用专家问卷调查法,结合相关数理评价指标对亚健康中医证候指标体系进行筛选是有效的可行的。Objective: To screen the sub-health traditional Chinese medicine( TCM) syndrome indexes,and establish the corresponding relationship between sub-health syndromes-symptoms. Method: Expert questionnaire survey was used to test the authority coefficient and the coordination coefficient of experts,with use of means,sum of ranks,ratio of full marks to screen 63 symptoms included in the 6 TCM syndromes of spleen-Qi deficiency,heart-Qi deficiency,lung-Qi deficiency,liver stagnation,fire syndrome and dampness syndrome. A total of 40 experts were involved in the questionnaire survey. Result: The questionnaire recovery rate was 87. 5%,and 34 valid questionnaires were involved in statistical analysis. The overall and individual questionnaire authority coefficient was 0. 8 or higher,with statistical significance in overall and individual questionnaire coordination coefficient( P < 0. 01). The overall experts coordination coefficient was 0. 479. After screening,finally 43 symptoms in 6 sub-health syndromes were selected. Conclusion: Under the condition of a high degree of authority and coordination for the experts group,it is effective and feasible to screen the sub-health TCM syndrome indexes by using expert questionnaire survey combined with the relevant mathematical evaluation indexes.国家自然科学基金项目(81403324);; 广东省中医药管理局科研课题(20141211

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