CAJ | 학술논문

目的：制定出血性中风瘀热病机单元的测量量表，探索瘀热病机的客观、规范和定量测量方法。方法采用量表标准制作程序设计测量问卷，应用三轮专家咨询方法筛选瘀热表征信息，形成量表条目池。采用临床流行病学／DME 的方法现场采集出血性中风瘀热病机相关条目4个时间点测量数据，评价量表的信度、效度和适用性。结果通过主观评价法和基于重要性评价的逐步筛选法获得32个瘀热密切相关的表征信息，形成了出血性中风瘀热量表初表的条目池，分属于血热、血瘀和神志3个维度。通过临床样本的测试进一步优化了量表，所得量表的25个条目有较高的测量信度和效度。结论初步建立了一套出血性中风瘀热病机单元的测量工具，量表显示神志变化是出血性中风瘀热病机区别于其它疾病的重要表征。
목적：제정출혈성중풍어열병궤단원적측량량표，탐색어열병궤적객관、규범화정량측량방법。방법채용량표표준제작정서설계측량문권，응용삼륜전가자순방법사선어열표정신식，형성량표조목지。채용림상류행병학／DME 적방법현장채집출혈성중풍어열병궤상관조목4개시간점측량수거，평개량표적신도、효도화괄용성。결과통과주관평개법화기우중요성평개적축보사선법획득32개어열밀절상관적표정신식，형성료출혈성중풍어열량표초표적조목지，분속우혈열、혈어화신지3개유도。통과림상양본적측시진일보우화료량표，소득량표적25개조목유교고적측량신도화효도。결론초보건립료일투출혈성중풍어열병궤단원적측량공구，량표현시신지변화시출혈성중풍어열병궤구별우기타질병적중요표정。
ABSTRACTOBJECTIVE To establish measuring scale for the pathogen unit of heat?stasis on hemorrhagic stroke and explore the objectivestandard and quantitative method for measuring heat?stasis pathogenesis.METHODS Measuring questionnaire was designed according to the production process of standard scaleand heat?stasis information representation was selected through three rounds of expert consultationso as to establish the entry pool of scale.Related metrical data of hemorrhagic stroke due to heat?stasis was collected on spots with the clinic epidemiology/DME principles for 4 timesand the credibilityvalidity and applicability of scale were assessed.RESULTS By applying the method of subjective evaluation and step screening based on importance evaluationthe original entry pool of scale concerning hemorrhagic stroke due to heat?stasis was estab-lishedwhich included 32 information representationsbelonging to the dimension of blood heatblood stasis and consciousness respectively.And the scale was further optimized after testing the clinical sampleswith 25 items of higher credibility and va-lidity were chosen.CONCLUSION We have preliminarily established a set of measuring tool for the pathogen unit of heat?sta-sis on hemorrhagic strokeand the scale shows that consciousness change is an important representation in distinguishing hem-orrhagic stroke due to heat?stasis from other diseases.