构建中医软指标疗效评价模式的初步探索.pdfVIP

·560 · 中国中西医结合杂志 2007 年 6 月第 27 卷第 6 期 CJ I TWM , J une 2007 , Vol . 27 , No . 6 ·学术探讨 · 构建中医软指标疗效评价模式的初步探索 谢雁鸣 王永炎 朴海垠 摘要 中医临床四诊信息所包含的大量中医软指标是中医辨证论治的重要依据 , 而中医临床实践内容 和诊疗思维的复杂性 、非线性 , 以及作为实践和研究主体和客体的人所特有的主观性和复杂性 ,增加了中医 软指标的科学测量和客观评价的难度 。本文尝试借鉴社会学 、心理学 、统计学等诸多学科与领域的知识和技 术 ,探索中医软指标疗效评价的基本步骤 ,并初步构建了中医软指标疗效评价模式 , 即规范 - 筛选与重构 - 测量 - 赋权与量化 - 评价 。 关键词 中医软指标 ; 中医临床疗效 ;评价模式 Prel iminary Exploration on Buil ding A Sof t Index Dependent Eff icacy Evaluation Mode of Chinese Medicine XIE Yanming , WAN G Yongyan , and P IAO Haiyin I ns t it ute of B as ic R esearch of Cl i nical M edici ne , Chi na A cademy of Chi nese M edical S ciences , B eij i ng ( 100 700) Abstract Chinese medical soft indexes p rovided by t he four diagno stic met hods of t raditional Chinese medicine ( TCM) are t he import ant basis for syndrome differentiation and t reat ment . Whereas , t he difficult y in scientific measurement and obj ective evaluation of t hese soft indexes is intensified due to t he complexit y and non linearity of Chinese medical p ractice and t hinking of diagno sis and t reat ment , as well as t he subj ectivity and complexit y hold by t he per son , who plays as t he ho st and t he guest of p ractice and research . Referring to t he knowledge and technique of sociology , p sychology and st atistics , it is t ried , in t his st udy , to p robe in t he basic p rocesses for soft index dependent efficacy evaluation of TCM , and build it s mode p reliminarily , i . e . , st andar d ization - screening and reconst ruction - measurement - weighing and quantification - evaluation . Key words Chinese medical soft index , clinical efficacy evaluation of TCM , evaluation mode 　　针对中医软指标的复杂非线性特性 ,其研究方法 采用统计学方法把测验分数转换到一个有相等