Font Size: a A A

Using Delphi Method To Establish Blood Stasis Card Diagnosis And Curative Effect Evaluation Criteria Standard Certificate Research

Posted on:2011-03-08Degree:MasterType:Thesis
Country:ChinaCandidate:C X JiangFull Text:PDF
GTID:2144360305990210Subject:Chinese medical science
Abstract/Summary:PDF Full Text Request
The Ancient Chinese literature on the stasis of the discussion started《Nei Jing》to "blood pulse coagulation and sobbing" (《Su Wen·Zhizhenyaoda of articles》), "blood coagulation and sobbing" (《Su Wen·Tiaojing of articles》), "Evil Blood" (《Ling Shu·Xieqizangfubing of articles》), and (《Su Wen·Citong of articles》), "left blood" (《Su Wen·Tiaojing of articles》), and "Pulse not to pass" (《Su Wen·Jutong of articles》) and other names scattered in the《Nei Jing》. The blood stasis is sluggish within the blood circulation, or caused signs that blood overflow the pulse outside and stopped store in the body. It is the blood stasis that the intravenous blood of running sluggish, or the blood of overflow from the vessel while still stoped in the body. Therefore, the blood stasis is a common pathological product, is endogenous pathogenic factors; the blood stasis is the pathological state of blood stasis, belong to the scope of pathogenesis; and blood stasis syndrome is caused by blood stasis, or syndrome shown by the blood stasis. Show the corresponding external signs such as skin color dark lag, short dark lips, skin a wrong, women can see dysmenorrhea, amenorrhea, by color black, blood clots and other multi.The Chinese medicine is a natural combination of philosophy and ancient science disciplines. The overall concept and Differential Treatment is the most basic features. The method of thinking in modern medicine clinics, digging out the laws of thinking, is to realize modernization of Chinese medicine, the heart of the problem. The standardization of syndrome and development of Chinese medicine for improving the clinical diagnosis and treatment is important.The blood stasis, involving almost all diseases and related diseases in the whole process is the theory of TCM syndrome research and clinical use of the important content, with the objective diagnosis of blood stasis syndrome, the new signs symptoms in the diagnostic standardization criteria and laboratory indicators of prominent role is increasing. The blood stasis and specific diagnostic criteria to establish diagnosis of project identification, so that blood stasis and objective research has made significant progress, but can be generally accepted and uniform use of clinical criteria are still lacking. Therefore, standardization of blood stasis syndrome diagnosis in medicine for both clinical and research is significant.The research of syndrome standardization for development and improving of Chinese medicine clinical diagnosis and treatment is important meaning. In Chinese herbal medicine clinical trials, syndrome diagnosis and evaluation standard of Diseases combination has been completed, but with the rapid development of medical science, it is necessary to revise and add the diagnostic criteria, generally accepted and the clinical uniform use. Combination of medicine widely used developed for disease specialist for the blood stasis diagnostic criteria. In this syndrome with a high dimensional complex systems, it is need to identify the law, formulate a simple, practical standards and be based on traditional norms, explain and research Chinese medicine theoretical system for the use of modern languages, interpret TCM rule and summarize in the method of combining multiple channels, as well as objective indicators for the stance, integrated use of interdisciplinary knowledge.Present, but with the rapid development of medical, clinical trial of traditional Chinese medicine is necessary for the updated standards of blood stasis diagnosis, and to be universally recognized and uniform clinical used. This issue is mainly that the syndrome against part of the common clinical directed disease and widely independent application, formulate their diagnostic and therapeutic assessment criteria, determine the weight of the characteristics share elements of blood stasis syndrome, and use for the corresponding premise of clinical evidence.1. Review:Recalling the ancient Chinese understanding of the blood stasis, analysis of blood stasis in TCM research on the profile. Stasis introduced modern medical research, details the application research of blood stasis syndrome, points out the problems and research directions.2. Clinical Research2.1 Objective of Research:Through the development of new drugs for clinical trials of traditional Chinese medicine blood stasis syndrome diagnosis and therapeutic evaluation criteria, determine the weights of the blood stasis syndrome characteristics.2.2 Method:Use the Delphi method to define the weights.20 cases of Blood Stasis Syndrome characteristics questionnaires were send to specialists all over the country. Epidata 3.0 software was used to set up database. The mean, variation coefficient and x 2 test were used in statistics by SAS 9.2.2.3 Result:There were 20 questionnaires retrieved. The specialist active coefficient was 100%. The authority coefficient was 0.86. The concordance coefficient was 0.507(x 2=284.494, P<0.001). The weights of 18 characters in blood stasis syndrome diagnosis were defined, there is local mass bruising, chest pain, chest tingling unwavering, particularly at night symptoms, limb paralysis, tongue oblique, partial body numbness, dysmenorrhea, cyanotic lips, eye color dark, swarthy complexion, skin purpura, a wrong skin, abdominal disease product, color black or menstrual blood stasis block, tongue, or tongue dark purple tongue with petechiae, purpura, sublingual varicose vein, vein astringent. It is the main that Inquiry diagnosis and Inspection diagnosis in four diagnosis; The weights of 17 characters in blood stasis syndrome curative effect evaluation criteria standard were defined, there is the local mass appeared bruising, chest pain, chest tingling unwavering, particularly at night symptoms, chest, limb paralysis, partial body numbness, dysmenorrhea, cyanotic lips, eye color dark, swarthy complexion, skin purpura, abdomen in the plot, menstrual bleeding, black or color blocks, or tongue, dark purple tongue, tongue with petechiae, purpura, sublingual varicose vein, vein Shibuya.2.4 Conclusion:The application of the Delphi method for defining weighs of the 18 main characteristics in blood stasis syndrome card diagnosis,17 characters in blood stasis syndrome curative effect evaluation criteria standard and four diagnostic inquiry, is of rather high credibility and the scientific nature, can form an important basis for diagnosing and evaluating blood stasis syndrome in clinical trials.
Keywords/Search Tags:blood stasis, Delphi method, therapeutic evaluation, weight, diagnosis standard
PDF Full Text Request
Related items
Coronary Heart Disease Stable Angina Pectoris (phlegm Stasis Mutual Junction) Syndrome Efficacy Evaluation Score Table Of Development And A Preliminary Evaluation
Based On The Delphi Method, The First And Second Rounds Of Expert Questionnaire Analysis Of The TCM Diagnosis And Treatment Consensus Of Children With RRTI Stasis And Heat Syndrome
Using The Delphi Method And Clinical Survey Of The Diagnostic Criteria Of Qi Stagnation
Construction And Evaluation Of The Local Syndrome Differentiation Standard Item Pool In Liaoning Province For Coronary Heart Disease With Phlegm And Blood Stasis Syndrome
To Build Up The Scoring Scale For Therapeutic Evaluation Of The Chinese Medicine Based On Differentiation Of Symptoms And Signs Of Liver And Spleen In The Treatment Of Diarrhea-predominat Pattern Of Irritable Bowel Syndrome
Standard Of Quality Evaluation For Hospital Pharmacists
Observation On The Therapeutic Effect Of Bushen Guchong Pill And Guizhi Fuling Pill Combined With Low Molecular Weight Heparin Sodium On Recurrent Miscarriage Induced By Non-Standard OAPS Due To Kidney Deficiency And Blood Stasis Type
Meta-analysis And GRADE Evaluation Of The Clinical Curative Effect Of The Method Of Activating Blood And Removing Blood Stasis In The Treatment Of Diabetic Retinopathy
Development And Preliminary Verification Of Hip Function Score Based On Patient Self-evaluation
10 Distribution Of Qi - Yin Deficiency And Blood - Stasis Syndrome In Early Diabetic Nephropathy And Its Syndrome Diagnosis