Study On The Development And Application Of TCM Diagnostic Scales Of Traditional Chinese Medicine For Phlegm - Heat Syndrome Of Coronary Heart Disease

Objective:With reference to the international table development guide, take the Chinese medicine theory as the foundation and develop the applicable on the surface of the coronary heart disease patients with phlegm heat syndrome of TCM four diagnostic information, to provide a specific assessment tools for coronary heart disease of phlegm heat syndrome of TCM clinical efficacy evaluation. This stage of the research will establish the theoretical framework of the scale and formation item pool and carries on the preliminary screening, make the scale to more scientific, objective and applicable to clinical evaluation and diagnosis, for the evaluation and clinical application.Methods:To the whole concept of Chinese medicine and disease combined with as theoretical framework, according to the amount of Pro table the development process of the way, and with reference to the WHO quality of life scale development mode and foreign table design method, this paper proposes a coronary heart disease of phlegm heat syndrome diagnostic information scale expected conceptual structure model. Through the literature review, the collection of teaching materials, standard collection, expert consultation, patient interviews and other methods to establish the entry pool. Through the group of experts on the formation of the entry of the contents of the entry of the contents of the classification, merger and split and other modifications, and make the importance of scoring. Using the expert group to modify the scale of the preliminary draft for a small range of pre Survey (Language adjustment) and then the formation of the primary form of the primary. Collection of 140 cases of coronary heart disease patients with phlegm heat syndrome, with coronary heart disease of phlegm heat syndrome of four diagnostic information of primary table field investigation and recovery of field investigation data by discrete trends method, factor analysis method, correlation coefficient method, subjective evaluation method and Cronbach’s coefficient method selected 13 items, join the tongue and pulse entries, as part of a formal scale.Results:The primary scale includes 13 items, discrete trend method analysis showed that 13 entries a standard deviation is greater than 0.7, the sensitivity is high, from the sensitivity evaluation of 13 entries should be included in the scale; factor analysis results showed that the chest burning across all of two common factors, and there was no evident difference load coefficient, load coefficient of heavy limbs on the common factors were less than 0.4, the two items on behalf of poor, to eliminate; correlation coefficient showed:constipation, expectoration, chest burning Spearman correlation coefficient is greater than 0.4, the independence of the low to be removed; the subjective evaluation results show that:the sputum, sputum yellow thick, chest burning to low frequency, the importance is poor, be removed; Krone Bach coefficient method shows:stratified analysis, dry mouth after excluding the scale items of Krone Bach The number of entries that increased, dry mouth decreased the consistency of the scale structure, to eliminate. Expert consultation results suggest adding dizziness entries. The above 5 methods, only 3 or more than 3 methods of analysis that should be removed before the final deletion of the entry. Combined with the item analysis and expert consultation, eventually removed a burning sensation in the chest sense entries, add entry dizziness, coronary heart disease of phlegm heat syndrome of four diagnostic information of the formal scale is formed.Conclusion:As a tool of evaluation of clinical curative effect, it is an important carrier to complete a lot of basic scientific activities, the selection of the items, the establishment of the entry pool is an important foundation for the construction of the scale. In this research group, according to the development guideline of the international scale, we adopt the method of basic research and clinical research to select items, so that the maximum degree of optimization is obtained. To carry out clinical investigation, field survey of more than 100 patients, using statistical analysis methods to further optimize the entries and five leagues simultaneously, in order to obtain efficient entry. Finally, it is concluded that coronary heart disease phlegm heat syndrome of TCM four diagnostic information quantity form, and will be the scale for clinical application, the scale of reaction degree evaluation. The results showed that the reaction is good, can be used in preliminary clinical.