中医药领域症状量化的现状、问题与展望.pdfVIP

2012 Asian Chinese Quality of Life Conference and 5th National Quality of Life Conference QOL Research in Clinicians and Nursing 中医药领域症状量化的现状、问题与展望 1 2 黎炜力 ，刘凤斌 1. 清远市中医院，广东 清远 511500 ； 2. 广州中医药大学第一附属医院脾胃病科，广东 广州 510405 【摘要】本文对目前中医药领域症状量化方法和应用现状进行了系统的总结。症状量化在中医 药领域已有悠久的历史，在临床实践中通过记录症状持续的时间、涉及的范围、程度以及类比的方 式达到量化的目的。随着时代的变迁和医学的发展，症状量化根据研究目的不同也在不断分化和发 展，现代医学的量表测评的方法对中医量化方法的发展起到了积极的影响。同时指出，当代中医药 领域症状量化中仍存在着量化等级标准不统一、等级赋分不统一、混淆评价性与诊断性量化、量化 方法缺乏共识和权威推广等不足。提出建立一套标准化的症状量化体系可提高临床疗效的可信度、 可比性，对中医的现代化发展将起到一定的意义。 【关键词】症状量化，量化标准，诊断，疗效评价，等级量化 Problems and Prospects of Symptoms Quantification in Traditional Chinese Medicine LI Wei-li1, LIU Feng-bin2 1. Qingyuan Hospital of Traditional Chinese Medicine, Qingyuan 511500, Guangdong, China; 2. Spleen-Stomach Disease Department, First Affiliation Hospital, Guangzhou University of Chinese Medicine, Guangzhou 510405, Guangdong, China Abstract: This article summarized the methods and status quo of symptom quantification in TCM systematicly. There was a long history in TCM, that symptoms were quantified by recording the duration, scope or degree of the symptoms, as well as the analogy manner. Symptom quantification was different according to the purposes of study purpose along with the times going and medicine developing, while scale assessment method in modern medicine took a positive influence to the development of quantification in TCM. At the same time, it pointed out that there were some shortages in symptom quantification, such as different symptom quantification syste