| 原发性高血压肝阳上亢证诊断量表阈值的建立 |
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| 引用本文： | 孟凡波,李运伦,杨传华.原发性高血压肝阳上亢证诊断量表阈值的建立[J].山东中医药大学学报,2013(1):12-15. |
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| 作者姓名： | 孟凡波 李运伦 杨传华 |
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| 作者单位： | 蓬莱市中医院;山东中医药大学附属医院 |
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| 基金项目： | 教育部新世纪优秀人才支持计划(编号:NCET-07-0522);山东省教育厅自然科学类课题(编号:J12LK10) |
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| 摘 要： | 目的:建立原发性高血压肝阳上亢证诊断量表的阈值。方法:以确诊的200例原发性高血压患者为调查对象,利用德尔菲法确定主观权重系数,利用因子分析法确定客观权重系数。将两种赋权方法得出的某一指标的权数相乘,最后进行归一化处理,得到目标组合权数,然后采用受试者工作特征曲线确定最佳证候诊断阈值。结果:受试者工作特征曲线的证候积分Y=185.5时,诊断量表最佳的敏感度为92.0%和特异度为90.8%。结论:原发性高血压肝阳上亢证诊断量表阈值的证候积分≥185.5。
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| 关 键 词： | 原发性高血压 证候诊断阈值 德尔菲法 因子分析法 受试者工作特征曲线 |
Study on diagnostic scale threshold of essential hypertension with liver-Yang ascending syndrome |
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| MENG Fan-bo,LI Yun-lun,YANG Chuan-hua.Study on diagnostic scale threshold of essential hypertension with liver-Yang ascending syndrome[J].Journal of Shandong University of Traditional Chinese Medicine,2013(1):12-15. |
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| Authors: | MENG Fan-bo LI Yun-lun YANG Chuan-hua |
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| Affiliation: | 1.Penglai Hospital of Traditional Chinese Medicine,Penglai 265600,China;2.Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250011,China) |
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| Abstract: | Objective:To establish diagnosis scale threshold of essential hypertension with liver-Yang ascending syndrome.Methods:Total 200 essential hypertensive patients were selected.We use Delphi method to determine subjective weighting coefficient,use factor analysis method to determine objective weighting coefficient.Subjective weighting coefficient multiplied by objective weighting coefficient and normalized,use receive operating characteristic curve to determine the best threshold.Results:When the syndrome score of receive operating characteristic curve Y=185.5,diagnostic scale has the best sensitivity 92.0% and specificity 90.8%.Conclusion:Syndrome score of essential hypertension with liver-Yang ascending syndrome is established,the diagnostic scale≥185.5. |
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| Keywords: | essential hypertension syndrome diagnostic threshold Delphi method factor analysis receive operating characteristic curve |
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