WANG Jie, GAO Jia-liang, CHEN Guang, et al. Constructing Diagnosis Scale for Qi Stagnation and Blood Stasis Syndrome[J]. Chinese journal of experimental traditional medical formulae, 2018, 24(15): 16-20.
WANG Jie, GAO Jia-liang, CHEN Guang, et al. Constructing Diagnosis Scale for Qi Stagnation and Blood Stasis Syndrome[J]. Chinese journal of experimental traditional medical formulae, 2018, 24(15): 16-20. DOI: 10.13422/j.cnki.syfjx.20183102.
Objective:To construct the diagnosis scale for Qi stagnation and blood stasis syndrome (QSBSS)
and provide the basis for clinical diagnosis of QSBSS. Method:Through the ancient and modern literature analysis
we summarized the symptoms and signs of QSBSS and constructed an expert consultation questionnaire.After consulting 45 senior professional doctors and researchers
we made clear the form and content of the development of the diagnostic scale and designed a clinical research questionnaire for QSBSS patients.Then
we investigated 1 076 patients and collected their clinical data.Through several statistical analysis methods
including cluster analysis
principal component analysis
factor analysis
discrimination analysis
Spearman correlation coefficient
Logistic stepwise regression
receiver operating characteristic (ROC) curve
and expert consultation
we screened the scale items.Finally
we made the diagnosis scale by determining the boundary value and empowering. Result:The diagnosis scale contained 10 items
which were pain
emotional frustration
distending pain
scurry pain
chest distress
lumps in body
petechia in the tongue
purplish tongue
unsmooth pulse and deep pulse.The maximum score was 51.5 points and a score of 20 points could be diagnosed as QSBSS.The sensitivity of the scale was 80.35%
the specificity was 81.91%
and the accuracy rate was 80.94%. Conclusion:The diagnosis scale for QSBSS is universally suitable
and its sensitivity
specificity and accuracy rate reach the expected target
which can provide the basis for clinical diagnosis of QSBSS.