IgA肾病气阴两虚证诊断量表的研制  

Development of a diagnostic scale for the syndrome of deficiency of both qi and yin in IgA nephropathy

作　　者：何鸣宇 金迪[2] 张守琳[2] 南赫 HE Mingyu;JIN Di;ZHANG Shoulin;NAN He(Changchun University of Chinese Medicine,Changchun 130117,China;The First Afiliated Hospital of Changchun University of Chinese Medicine,Changchun 130021,China)

机构地区：[1]长春中医药大学,长春130117 [2]长春中医药大学第一附属医院,长春130021

出　　处：《吉林中医药》2024年第6期677-681,共5页Jilin Journal of Chinese Medicine

基　　金：国家重点研发计划项目(2019YFC1709903);吉林省中医药管理局标准化项目(zybz-2021-009)。

摘　　要：目的 研制IgA肾病气阴两虚证诊断量表,为临床诊断提供思路与方法。方法 通过文献检索、专家小组讨论、术语规范化、德尔菲专家问卷调查等方式,筛选量表核心条目,并通过层次分析法赋予权重,最终进行专家共识论证,确定诊断量表的分级划分界限、诊断方式及呈现形式等。结果 确定IgA肾病气阴两虚证诊断量表12个核心条目及具体权重划分界限,临床症状(总权重0.68)>舌象(总权重0.23)>脉象(总权重0.09),以主次症结合的形式呈现。结论 IgA肾病气阴两虚证诊断量表符合临床实际,可为各级中医师临床诊断提供依据,可为相关临床试验及其他量表研制提供参考。Objective To develop a diagnostic scale for the syndrome of deficiency of both qi and yin in IgA nephropathy to provide ideas and methods for its clinical diagnosis.Methods Through literature searches,expert group discussions,terminology standardization,and a Delphi expert questionnaire survey,etc.,the core items of the scale were screened,and weights were assigned by the analytic hierarchy process.Then,an expert consensus argumentation was conducted to determine the hierarchical division boundaries,diagnosis methods,and presentation forms of the diagnostic scale.Results The 12 core items of the diagnostic scale for the syndrome of deficiency of both qi and yin in IgA nephropathy were determined and the boundaries were divided by their specific weights,with clinical symptoms(total weight 0.68)>tongue manifestations(total weight 0.23)≥pulse manifestations(total weight 0.09),presented in the form of a combination of primary and secondary symptoms.Conclusion The diagnosis scale for the syndrome of deficiency of both qi and yin in IgA nephropathy is in line with clinical practice.It can provide a basis for the clinical diagnosis of the disease by TCM physicians at all levels and can also serve as a reference for related clinical trials and the development of other scales.

关 键 词：IGA肾病 气阴两虚证 诊断量表 

分 类 号：R256.5[医药卫生—中医内科学]