气滞血瘀证患者报告临床结局量表理论结构模型的构建  

The Construction of the Theoretical Structure Model of Patient Reported Outcomes Scale of Traditional Chinese Medicine in Patients of Qi-stagnation and Blood-stasis Pattern

作　　者：安宇[1,2] 王阶[1] 何庆勇[1] 李赵陵 

机构地区：[1]中国中医科学院广安门医院 [2]北京中医药大学

出　　处：《中医杂志》2015年第5期381-383,共3页Journal of Traditional Chinese Medicine

基　　金：国家中医药管理局公益性行业科研专项(201207009)

摘　　要：患者报告临床结局(PRO)量表能体现中医"以人为本"的特色,其作为临床疗效评价方法受到越来越多的关注。在参照PRO概念、国际量表、气血辨证理论、七情内伤学说、形神一体观和天人相应学说的基础上制定包括生理、心理、社会(包括社会关系和社会环境)、独立性4个领域的气滞血瘀证中医PRO量表的结构模型,在此基础上还扩展出胀痛或刺痛、肢体麻木、痛处固定、疼痛拒按等气滞血瘀症状、积极感受和消极感受、生活能力和学习工作能力等7个方面的内容,该量表结构模型的制定符合中医特色理论,为气滞血瘀证中医PRO量表的制定奠定了理论基础。As an evaluation method, patient reported outcomes （PRO） scale reflects the ＂people-oriented＂ characteristics of traditional Chinese medicine （TCM） and is drawing more and more attention. On the basis of PRO concept, international scales, qi and blood pattern differentiation theory, internal damage by seven emotions, holism of body and spirit and correspondence between man and nature theory, this research builds a structure model of TCM PRO scale in qi-stagnation and blood-stasis pattern which covers knowledge in physiological, psychological, social domain （including social relations and social environment） and independent domains. Based on this, it also extends out seven aspects including qi stagnation and blood stasis symptoms such as swelling pain or stabbing pain, numbness of limbs, impalpable pain, fixed pain points and so on, positive feelings and negative feelings, living ability and study ability. The structure model of PRO scale conforms to the characteristics of TCM theory, and it lays the theoretical foundation for the establishment of TCM PRO scale of qi-stagnation and blood statsis oattern.

关 键 词：气滞血瘀证 患者报告临床结局 量表 结构模型 

分 类 号：R228[医药卫生—中医基础理论]