浅谈中西医学主观指标测评的优势互补.pdfVIP

中国中西医结合杂志 2010 年 12 月第 30 卷第 12 期 CJITWM December 2010 Vol. 30 No. 12 • • , , , 1317 浅谈中西医学主观指标测评的优势互补 聂  慧  王  奇  李荣华1 2 1 摘要 在新的医学模式形成的背景下，主观指标测评成为西医学新的研究热点，近年来在方法学上 取得了较大发展，但面临着结果解释和综合评价的难题；中医学主观指标测评历来在临床实践中发挥重 要的指导作用，并且具有整体和辨证的特色，因此在临床意义判断和综合评价方面存在优势，但需要进 一步标准化和规范化。借鉴西医学主观指标测评工具研制和科学性考核的规程，而建立基于中医证候理 论的概念、域和概念框架，有望实现中西医学的优势互补，推动主观指标测评进一步发展。 关键词 中医学；西医学；主观指标；测量；评价 About the Mutual Compensation between Advantages of Chinese and Western Medical Subjective Indices for Measurement and Evaluation NIE Hui, WANG Qi, and LI Rong-hua Guangzhou Traditional Chinese Medicine University, Guangzhou (510405) ABSTRACT Upon the background of new medical model being formed, to make measurement/evaluation with subjective indices (SIM/E) has become a new hot-spot in Western medical researches and much methodological achievements have been made, but difficulties in comprehensive evaluation and result interpretation are still encountered. SIM/E has played important guideline roles in Chinese medicine (CM) clinical practice, and since it is characterized by holism and syndrome differentiation, it showed great advantage in comprehensive evaluation and result interpretation, though further standardization is yet required. To analyze the related tools and scientific regulations of SIM/E in Western medicine, and establish the concept, domain and conceptual framework of a SIM/E system based on the CM syndrome theory should be feasible to realize the mutual compensation between advantages of the two medical sciences, and promote the progress of SIM/E. KEYWORDS Chinese medicine; Western medicine; subjective index; measurement; evaluation 对患者主观症状感受的测量和评价历来都是中医 能适应患者的需求，因此，现代医学越来越重视对患者 学诊断、评价疗效、判断预后的主要手段。随着经济、