论文部分内容阅读
目的:探讨建立结直肠肿瘤辅助治疗期中医常见基本证候量化诊断规范。方法:采用自制调查量表,邀请北京、浙江等地中医结直肠肿瘤专家就常见症状在基本证型中的重要性进行赋分,进而建立量化评价模型。采用Saaty权重法得出专家量化计算公式,并分析影响专家判断证型类别的影响因素。结果:(1)专家调查所得证型判断模型与专家的临床经验判断总体可以达到66%的吻合度。(2)对于调查的临床病例的证型判断,专家意见出现了不同程度的分歧。结论:本研究所归纳的专家的证型判断模型达到比较满意的自身吻合度,可以进行初步推广,但针对同一病例出现的专家证型判断的不同,仍需进一步研究。
Objective: To explore the establishment of quantitative diagnostic criteria for common TCM syndromes in colorectal cancer adjuvant therapy. Methods: A self-made questionnaire was used to invite TCM colorectal cancer experts from Beijing and Zhejiang Province to assign the importance of the common symptoms in the basic syndromes, and to establish a quantitative evaluation model. The Saaty weight method was used to get the quantitative formula of experts, and the influencing factors that influenced the experts to judge the type of syndromes were analyzed. Results: (1) The expert judgment of the syndrome type judgment model and expert’s clinical experience to determine the overall can reach 66% agreement. (2) The expert opinion has different degrees of disagreement on the syndrome type of the clinical cases investigated. Conclusion: The expert syndrome differentiation model summarized in this study achieves a satisfactory degree of self-agreement, which can be initially popularized. However, there is still a need for further research on the differences of expert syndromes in the same case.