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| 題 名 | 心血管疾病之中西醫診斷及證型基準之建立=Cardiovascular Disease: Development of Chinese and Modern Medical Diagnostic Criteria |
|---|---|
| 作 者 | 呂鴻基; | 書刊名 | 中醫藥年報 |
| 卷 期 | 3 2014.12[民103.12] |
| 頁 次 | 頁(53)0-(53)72 |
| 分類號 | 413.34 |
| 關鍵詞 | 心血管疾病; 中醫證型; 診斷基準; 問卷; CAD; Diagnostic criteria; Chinese medical syndrome; Questionnaire; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 中醫臨床研究之主要問題在於中醫辨證模式之操作型定義不明確,診斷標準之可重複性易遭受質疑。而國際間有關中醫之研究雖已證實中醫辨證論治對疾病之治療有其可靠及實用性,但在辨證分型的客觀化上卻仍未有大的進展。因此辨證分型客觀指標之建立,是中醫進行臨床研究前急待解決之基本工作。 中醫在治療心臟疾病有其優勢,因此本研究以西醫之「心血管疾病」為研究主題,進行文獻回顧建立相對應之中醫病名與證型資料庫;進一步召開專家會議決議出基本證型及各證型所應包含之中醫四診內容,並依此採用「中醫體質量表」作為「心血管疾病中醫證型診斷問卷」初稿,針對需接受心導管診斷或治療之心血管疾病患者進行臨床收案觀察。同時利用脈診儀蒐集脈診結果,以此與西醫心導管量測之血液動力參數進行統計比對,嚐試利用分析之結果,探討中醫脈學與現代血流動力參數及機轉之相關性,建立未來可供中西醫共同使用之現代化脈學資料。 本案自 100年 6月 29日至 101年 12月 31日間,於三軍總醫院及中國醫藥大學附設醫院共完成收案 300例。先進行問卷信效度及鑑別度分析,確認「中醫體質量表」於本研究族群中之信效度良好,可供建立診斷標準之用。後進行診斷標準之統計分析,確定陽氣虛、陰血虛及痰瘀三種證型之診斷標準。 |
| 英文摘要 | The major problem of clinical Chinese medicine research is the definition of Chinese medical classification. Although there are some researches about this issue, but the objective and standard criteria of Chinese medical classification is not established. So we create a study about this issue by observing the patients with western medical diagnosis of CAD. First, the historical review about Chinese medical classification of CAD will be done. Then we convene a charrette to establish the “CAD Chinese medical classification questionnaire” for clinical observation. We also collect patient’s basic data, hematological data, report of cardiac catheter and EKG, and pressure wave of radial artery. Finally, we use statistical methods to find the relationships between western medical data with Chinese medical classification. 300 effective samples were recruited in the cardiovascular department of Tri-Service General Hospital and China Medical University Hospital from 2011/6/29 to 2012/12/31. The well reliability, efficiency and discrimination were evaluated by factor analysis, internal consistency and non-parametric Mann-Whitney tests. We also establish the standard criteria of Chinese medical classification of CAD. |
本系統中英文摘要資訊取自各篇刊載內容。