慢性浅表性胃炎脾胃湿热证量化标准的初步建立  

Preliminary Establishment of the Quantified Standard of Spleen-stomach Damp-heat Syndrome in Chronic Superficial Gastritis

作　　者：梅武轩[1] 劳绍贤[2] 

机构地区：[1]湖北咸宁学院医学院内科教研室,湖北咸宁437100 [2]广州中医药大学脾胃研究所,广州510405

出　　处：《广州中医药大学学报》2007年第3期177-179,共3页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：国家自然科学基金面上项目(编号:30271572)

摘　　要：【目的】探讨建立慢性浅表性胃炎脾胃湿热证量化诊断标准。【方法】在流行病学调查的基础上，根据相关因素在脾胃湿热证和非脾胃湿热证出现状况的差异对相关因素进行赋分，并以此为基础建立量化诊断标准；然后对量化诊断标准进行检验；最后建立程度分级标准。【结果】慢性浅表性胃炎脾胃湿热证量化诊断标准为49分；量化诊断标准的回顾性检验，其敏感度、特异度、准确度、阳性似然比分别为：90．91％、90．57％、90．72％、9．64。程度分级标准：轻度49-57分，中度58～65分，重度≥65分。【结论】慢性浅表性胃炎脾胃湿热证量化标准统计严谨，相关因素赋分合理，值得进一步深入研究。[Objective] To establish the quantified standard of spleen-stomach damp-heat syndrome （SSDHS） in chronic superficial gastritis （CSG）. [ Methods ] Based on the epidemiologieal survey, the factors related to SSDHS and non- SSDHS were quantified and scored, and then the quantified standard was set up and used for the degree grading of SSDHS. [Results] The diagnostic threshold value of SSDHS in chronic superficial gastritis was 49 points. The results of retrospective examination showed that the sensitivity, specificity, accuracy and likelihood ratio of qualified SSDHS standard are 90.91%, 90.57%, 90.72% and 9.64 respectively. The graded criteria of SSDHS were as follows： 49 57 points for the mild syndrome, 58 - 65 points for the moderate syndrome, and over 65 points for the severe syndrome. [Conclusion] It is indicated that the qualified SSDHS standard in chronic superficial gastritis is practical for its preciseness and rationality, and is worth of further study.

关 键 词：慢性浅表性胃炎 脾胃湿热证 证候标准化 临床流行病学 

分 类 号：R573.31[医药卫生—消化系统]