电导法穴位测评技术的临床应用稳定性  

The clinical stability of electrical conductivity method for acupoint evaluation

作　　者：原嘉民[1] 陈玉状 孙玉姣[2] 黄鹂[1] 徐福平[1] 杨志敏[1] 

机构地区：[1]广东省中医院广州中医药大学第二附属医院广东省中医药科学院治未病中心,广东广州510120 [2]广州中医药大学第二临床医学院,广东广州510006

出　　处：《广东医学》2017年第11期1645-1648,共4页Guangdong Medical Journal

基　　金：国家重点基础研究发展计划(973计划)(编号:2011CB505404);广东省财政厅-广东省中医院专项项目(编号:粤财工[2016]150号);广东省科技计划项目(编号:2014B010118005);广东省中医院中医药科学技术研究专项(编号:2016KT1206)

摘　　要：目的研究电导法穴位测评技术的临床应用稳定性。方法经过样本含量估算,通过重复测量一致性试验、不同操作者一致性试验、临床诊断的一致性试验对电导法穴位测评技术的临床应用稳定性进行研究。结果 30名志愿者,前后时点所有穴位的穴位测量值差异无统计学意义(P>0.05)。10名既往没有操作经验的操作者经过理论与实践培训后,各个穴位不同操作者之间测量的组内相关系数为0.49~0.87,差异有统计学意义(P<0.05)。11个分中心220例健康调养就诊患者,仪器判断的虚实类型与医生判断的Kappa值为0.597(P<0.05)。仪器判断的脏腑定位与医生判断的Kappa值为0.564(P<0.05)。结论电导法穴位测评具有较好的重复测量稳定性和较好的不同操作者之间的稳定性,在人体健康状态虚证、实证的分类和失衡脏腑的定位上与临床医生具有中等一致性,在治未病领域应用电导法穴位测量,具有较好的客观性和科学性。Objective To study the clinical stability of electrical conductivity method for acupoint evaluation. Methods After the sample size estimation, the consistency test for clinical application of conductance measurement techniques for aeupoint evaluation were performed using test - retest reliability, inter - rater reliability, and diagnostic test. Results There was no significant difference in the measured values of all acupoiuts between the test and retest in 30 volunteers （ P 〉 0. 05 ）. Significant difference was revealed in aeupoint measurement among 10 operator without experi- ence, who received system training, with the correlation coefficient between 0. 49 and 0. 87 （P 〈 0. 05）. In the 220 sub- jects from 11 centers, the Kappa value was 0. 597 between doctors and instruments （P 〈 0. 05 ）. The Kappa value between doctors and instrument in locating internal organs was 0. 564 （ P 〈 0. 05 ）. Conclusion The conductivity method is stable in acupoint evaluation with good T＇epeatability and inter- rater reliability.

关 键 词：电导法 穴位测评 稳定性 

分 类 号：R944.1[医药卫生—药剂学]