血管性痴呆临床常用量表国内应用现状探析  

Domestic clinical application of vascular dementia scales

作　　者：李伟峰[1,4] 董新刚[2] 姬令山[3] 秦合伟[3] 叶险峰 LI Wei-feng;DONG Xin-gang;JI Ling-shan;QIN He-wei;YE Xian-feng(Henan University of Chinese Medicine,Zhengzhou 450046,China;the First Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou 450008,China;Henan Province Hospital of Chinese Medicine,Zhengzhou 450002,China;the Third Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou 450003,China)

机构地区：[1]河南中医药大学,河南郑州450046 [2]河南中医药大学第一附属医院,河南郑州450008 [3]河南省中医院,河南郑州450002 [4]河南中医药大学第三附属医院,河南郑州450003

出　　处：《中国中药杂志》2021年第19期5110-5116,共7页China Journal of Chinese Materia Medica

基　　金：河南省中医药科学研究专项普通课题(20-21ZY2122);河南省中医药科学研究专项重点课题(20-21ZY1054);河南省科技攻关项目(212102311142)。

摘　　要：通过探索血管性痴呆临床常用量表国内应用现状,为精细化临床量表使用提供依据。采用计算机检索维普中文科技期刊全文数据库(VIP)、中国生物医学文献服务系统(SinoMed)、万方(Wanfang)、中国知网(CNKI)等数据库,分析在北大核心期刊、CSSCI和CSCD中公开发表的论文中有关血管性痴呆量表的临床应用情况,所有数据库检索时限均从建库至2020年8月31日。按照纳入、排除标准,采用NoteExpress软件和人工检索相结合的方式完成文献查重和筛查,根据研究需求,提取相关数据,建立数据库。此次研究初步检索相关文献4 246篇,剔除重复文献2 048篇,人工逐一核对筛除文献1 484篇,最终纳入符合标准的文献714篇,量表44种,量表使用总频次2 660次。描述性分析结果显示,血管性痴呆临床常用量表种类繁多;为避免重复叠加使用功能相近的量表,在参照疾病诊断标准进行筛选的同时,将量表的使用目的、使用途径、使用频次和量表自身功能等因素对评价结果可能产生的影响纳入选择量表的参考因素,是正确选用临床量表的必要条件;适时开发中医药特色优势量表对中医药临床客观评价十分必要。To analyze the domestic clinical application of vascular dementia scales, and provide the basis for the refinement of clinical scales. VIP, SinoMed, Wanfang and CNKI databases were searched by computer to analyze the clinical application of vascular dementia scales published in Chinese Core Periodicals in Library of Peking University, CSSCI and CSCD, with time limit from database establishment to August 31, 2020. According to the inclusion or exclusion criteria, the combination of Note Express software and manual search was used to complete the literature duplicate detection and screening. According to the research needs, the relevant data were extracted and a new database was established. In this study, a total of 4 246 related literatures were initially searched, 2 048 repetitive literatures were eliminated, 1 484 literatures were manually screened out, and finally 714 literatures and 44 scales were included. The total using frequency of scales was 2 660. The results of descriptive analysis showed that there were many kinds of clinical scales for vascular dementia. In order to avoid the repeated use of scales with similar functions, it is correct to include the possible influences such as the purpose of use, way, frequency and function of the scales into reference factors of scale selection according to the disease diagnostic criteria. It is necessary to develop the scales with traditional Chinese medicine characteristic for objective clinical evaluation of traditional Chinese medicine.

关 键 词：血管性痴呆 量表 临床应用 

分 类 号：R749.13[医药卫生—神经病学与精神病学]