冠心病心绞痛中医PRO疗效评价量表理论结构模型构想  

The conception of theoretical structure of PRO efficacy scale of traditional Chinese medicine in coronary heart disease

作　　者：何庆勇[1,2] 王阶[1] 施展[3] 熊兴江[1] 

机构地区：[1]中国中医科学院广安门医院,北京100053 [2]北京中医药大学,北京100029 [3]中国中医科学院临床基础所,北京100700

出　　处：《中华中医药杂志》2010年第1期42-45,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家重点基础研究发展计划(973)项目(No.2003CB517103);北京市自然科学基金项目(No.7062058)~~

摘　　要：通过对患者报告的结局指标(PRO)研究内容的回顾和对冠心病心绞痛有关中医理论的探讨,认为冠心病心绞痛中医PRO疗效评价量表,应结合中医理论,包括"以心为主,五脏相关、内伤七情、神形合一、天人相应"等学说,并参照国际PRO量表的研制规范,具体包括生理、心理、独立、社会关系、社会环境领域,作为冠心病心绞痛中医疗效评价的专用PRO量表。冠心病心绞痛中医PRO疗效评价量表在生理领域,以"心为主,五脏相关"理论为主线,分设各个项目(方面),体现引起患者自我不适感觉的各个环节,最终形成了胸痛、胸闷、心悸、胁痛、少寐、腰膝酸软、夜尿频多、纳差、倦怠乏力、自汗、气短、个人能力、日常生活、积极感受、消极感受、个人关系、所需社会支持的程度、社会服务、社交与经济、卫生医疗保健等19个方面,构成了量表的理论结构模型,为量表的进一步研制奠定理论基础。By reviewing the research on patient reported outcomes （PRO） and the understanding of the theory of traditional Chinese medicine in coronary heart disease, the author found that the evaluation scale of PRO in coronary heart disease in traditional Chinese medicine should be guided by the theory of traditional Chinese medicine, including the theories of ＇heartoriented, five internal organs correlation, internal injuries by seven emotions, unity of body and mind, correspondence between human and nature＇ and other modern theoretical framework of PRO scale.It was believed that the physical, psychological, independence and social sphere constructed a special PRO efficacy scale of traditional Chinese medicine in coronary heart disease. The field of physiology on the scale was guided by ＇heart-based, five internal organs correlation＇ theory as the main line, and the scale was divided into various aspects in order to reflect all aspects of uncomfortable self-feeling of patients. Finally, 19 sides such as chest pain, chest tightness, heart palpitations, flank pain, insomnia, soreness and weakness of waist and knees, frequent urination at night, anorexia, weakness, spontaneous perspiration, shortness of breath, individual ability, daily life, positive feelings, negative feelings, personal relations and social support needed, level of social services, social intercourse and economy, healthy and medical care formed the theoretical structure model of the scale,which established the theory foundatio for the further development of PRO scale.

关 键 词：冠心病心绞痛 PRO量表 结构模型 疗效评价 

分 类 号：R259[医药卫生—中西医结合]