层次分析法在职业性慢阻肺诊断指标体系权重确立中的应用  

Application of analytic hierarchy process in determining the weight coefficients of diagnostic index system for occupational chronic obstructive pulmonary disease

作　　者：赵丽[1,2] 李震[1,2] 刘洁[1] 陈艳霞 闫永建 Zhao Li;Li Zhen;Liu Jie;Chen Yanxia;Yon Yongjian(Shandong academy of medical science a hand and Oc copat ionol Medical,Jinan 250062,China;School Medicine and Li/e Sciences ,University of Jinan-Shandong A cculemy of Medical Sciences ,Jinan 250062,China;Qingdao Central Hospital Qingdao 266042,China)

机构地区：[1]山东省医学科学院,山东省职业卫生与职业病防治研究院,济南250062 [2]济南大学,山东省医学科学院医学与生命科学学院,250062 [3]青岛市中心医院,266042

出　　处：《中华劳动卫生职业病杂志》2019年第3期212-216,共5页Chinese Journal of Industrial Hygiene and Occupational Diseases

基　　金：《职业性刺激性化学物致慢性阻塞性肺疾病的诊断》标准前期调研项目.

摘　　要：目的确定职业性慢性阻塞性肺疾病(简称慢阻肺)评价指标体系的权重,为诊断指标的确定提供参考.方法运用层次分析法建立职业性慢阻肺诊断指标层次结构,构建两两比较判断矩阵,并对判断矩阵进行一致性检验,从而确立各级指标的权重.结果通过层次分析法确立了6个一级指标,27个二级指标的权重系数,各指标权重均数均满足一致性检验.结论层次分析法应用专家经验知识设置指标体系,用一致性检验判断专家意见的一致性,有效地将定性分析与定量分析结合在一起,为职业性刺激性化学物所致慢阻肺诊断指标体系的建立提供了科学、可行的思路.Objective To determine the weight coefficients of the diagnostic index system for occupational chronic obstructive pulmonary disease (COPD),and to provide a reference for the determination of diagnostic indices.Methods The analytic hierarchy process was performed to establish the hierarchical structure of diagnostic indices for occupational COPD,construct a pairwise comparison judgment matrix,and conduct a consistency test on the judgment matrix,in order to determine the weight of each index.Results The weight coefficients of six first-level indices and 27 second-level indices were determined based on the analytic hierarchy process.All these index weights satisfied the consistency test.Conclusion The analytic hierarchy process uses expert experience knowledge to set up the index system,then judges the consistency of expert opinions through the consistency test,and effectively combines qualitative analysis with quantitative analysis,which may provide a scientific and feasible idea for establishing the diagnostic index system for COPD caused by occupational irritant chemicals.

关 键 词：层次分析法 职业性 慢性阻塞性肺病 诊断标准 

分 类 号：R135[医药卫生—劳动卫生]