脑血管病风险人群中医证候调查的方法学质量评价  

The methodological assessment of cross-sectional surveys about Chinese medicine syndrome in a population at potential risk of cerebrovascular diseases

作　　者：苏晴 徐曜 莫睿璧 陈轶凡 蔡业峰 倪小佳 SU Qing;XU Yao;MO Ruibi;CHEN Yifan;CAI Yefeng;NI Xiaojia(Guangdong Provincial Hospital of Chinese Medicine,Guangdong Provincial Academy of Chinese Medical Sciences,the Second Clinical School of Guangzhou University of Chinese Medicine,Guangzhou 510120,P.R.China;State Key Laboratory of Dampness Syndrome of Chinese Medicine(the Second Afiliated Hospital of Guangzhou University of Chinese Medicine),Guangzhou510120,P.R.China)

机构地区：[1]广东省中医院,广东省中医药科学院,广州中医药大学第二临床医学院,广州510120 [2]省部共建中医湿证国家重点实验室(广州中医药大学第二附属医院),广州510120

出　　处：《中国循证医学杂志》2023年第10期1204-1211,共8页Chinese Journal of Evidence-based Medicine

基　　金：广州市科技计划市校(院)联合资助项目(编号:202102010300);广东省中医药局科研项目(编号:20225021);省部共建中医湿证国家重点实验室专项重点项目(编号:SZ2021ZZ07);广州中医药大学“双一流”与高水平大学学科协同创新团队重点项目(编号:2021xk26)。

摘　　要：目的 评价脑血管病风险人群中医证候调查的方法学质量。方法 计算机检索CNKI、WanFang Data、CBM和PubMed数据库,搜集脑血管疾病风险人群中医证候调查的横断面研究,检索时限均为建库至2022年12月。由2位研究者独立筛选文献、提取资料并采用JBI流行病学量表进行方法学质量评价。结果 共纳入105项研究。纳入研究的JBI平均报告率为52.06%,得分最高的条目依次为:“资料分析的覆盖率”(100%),“研究对象及研究场所的描述”(92.38%),“采取确定健康/疾病问题的有效方法”(86.67%)。得分最低的条目包括:“足够的样本量”(13.33%),“足够的应答率或对低应答率的处理方法”(14.29%),“恰当的抽样方法”(20.95%)。亚组分析结果显示,发表类型和实施中心数量是方法学质量的潜在影响因素(P<0.05)。结论 脑血管病风险人群中医证候调查在横断面研究基本方法学(抽样、样本量、应答)和中医证候诊断信效度方面尚有待提高。Objective To evaluate the methodological quality of cross-sectional surveys about Chinese medicine syndrome in a population at potential risk of cerebrovascular diseases. Methods The CNKI, WanFang Data, CBM and PubMed databases were electronically searched to collect cross-sectional surveys about Chinese medicine syndromes in a population at potential risk of cerebrovascular diseases from inception to December, 2022. The methodological quality was assessed using the JBI scale. Results A total of 105 studies were included. The average reporting rate of JBI was52.06%, and the items with the highest scores included "sufficient coverage of the identified sample in data analysis"(100%), "description of study subjects and setting"(92.38%), and "using valid methods for the identification of the condition"(86.67%). Items with the lowest scores included "adequate sample size"(13.33%), "adequate response rate or low response rate managed appropriately"(14.29%), and "study participants recruited in an appropriate way"(20.95%).Subgroup analysis suggested that type of publication and number of implementation centers were potential factors influencing methodology quality(P<0.05). Conclusion The methods essential to a cross-sectional survey such as sampling, sample size calculation and handling with the response rate, and the syndrome diagnosis scales specific to Chinese medicine require further improvement.

关 键 词：脑血管障碍 危险因素 证候 横断面调查 方法学质量 

分 类 号：R277.7[医药卫生—中医学]