基于层次分析法评估2型糖尿病阴虚证辨证依据权重的研究  

Application of Analytical Hierarchy Process to Determine Symptom-weight Coefficient of the Syndrome of Yin Deficiency in Type 2 Diabetes Mellitus

作　　者：陈小愚 王世东[1] 陈宇[1] 车彪 戴文先 陶立元[4] 战丽彬[5] 肖永华[1] 赵进喜[1] 魏金艳 薛泰骑 张华敏[6] 苏冠旬 宋德超 CHEN Xiaoyu;WANG Shidong;CHEN Yu(Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700,China)

机构地区：[1]北京中医药大学东直门医院,北京100700 [2]默沙东(中国)研发中心 [3]北京市昌平区中医医院 [4]北京大学第三医院临床流行病学研究中心 [5]南京中医药大学中医学院,中西医结合学院 [6]中国中医科学院中医药信息研究所

出　　处：《浙江中医药大学学报》2022年第1期78-81,85,共5页Journal of Zhejiang Chinese Medical University

基　　金：国家重点研发计划(2018YFC1704400、2018YFC1704402);北京市科技计划项目(Z191100008319004)。

摘　　要：[目的]确立2型糖尿病阴虚证各辨证依据条目的权重系数。[方法]根据权威性、代表性、地域性的原则,遴选出21位专家进行调研。结合层次分析法,要求每位专家对糖尿病阴虚证辨证条目进行两两对比,判断各条目对2型糖尿病阴虚证诊断的重要程度,应用R语言对结果进行统计分析。[结果]本研究回收有效问卷19份,专家积极系数为0.905,专家权威度为0.880。对通过一致性检验的15份问卷进行分析后发现,各辨证依据的权重依次为:舌红少苔(0.172)、五心烦热(0.130)、舌红少津(0.120)、脉细数(0.101)、盗汗(0.095)、口干咽燥(0.069)、两目干涩(0.069)、形体消瘦或渐瘦(0.058)、渴喜冷饮(0.043)、大便偏干(0.042)、怕热(0.041)、皮肤干痒(0.033)、心烦(0.028)。[结论]应用层次分析法确定了2型糖尿病阴虚证各辨证依据的权重,为构建2型糖尿病阴虚证的诊断标准奠定了基础。[Objective] To explore the symptom-weight coefficient of the syndrome of Yin deficiency in type 2 diabetes mellitus. [Methods]According to the principles of authority, representativeness and regionality, 21 experts were selected for investigation. Combined with the analytic hierarchy process, each expert was required to make a pairwise comparison of the syndrome differentiation items of diabetes of Yin deficiency, which helped to judge the importance of each item in the diagnosis of type 2 diabetes of Yin deficiency syndrome. Then it used the R language to perform statistical analysis on the results. [Results] The study collected 19 copies of valid questionnaires, experts’ active degree was 0.905 and the average authority coefficient was 0.880. After analyzing the 15 questionnaires that passed the consistency test, it was found that the symptom-weight of each entry was as follows: Red tongue with little fur(0.172), five-center heat(0.130), red tongue with dry fur(0.120), thread and rapid pulse(0.101),night sweat(0.095), dry throat and mouth(0.069), dry eyes(0.069), thin or weight loss(0.058),thirst and preference for cold drinks(0.043), dry stools(0.042), intolerance of heat(0.041), dry and itchy skin(0.033), upset(0.028).[Conclusion] Analytical hierarchy process was used to determine the symptom-weight coefficient of the syndrome of Yin deficiency in type2 diabetes mellitus, which is the foundation of the diagnostic criteria.

关 键 词：2型糖尿病 阴虚证 层次分析法 权重分析 中医诊断标准 病证结合 

分 类 号：R587[医药卫生—内分泌]