Expert Questionnaire Survey And Clinical Investigation For TCM Syndrome Classification Questionnaire Of Epilepsy

Objective Development of "epileptic syndromes questionnaire" to promote the standardization of TCM epilepsy. Use the "epileptic syndromes Survey" survey of epilepsy patients in our hospital to find evidence prime distribution.Methods①By ancient and modern Chinese literature, review of epilepsy etiology, pathogenesis, clinical experience, TCM made of 9 epileptic syndrome elements.(2)Reference to published diagnostic criteria for epilepsy and a number of Chinese version of Chinese medical science, summarized epilepsy symptoms and signs of entry, order entry into the pool of symptoms and signs of epilepsy, compiled "TCM experts in epilepsy questionnaire."③ccording to China's geographical distribution and stratified in the top three hospitals in China Chinese medicine, Integrative Medicine encephalopathy than vice Dr. Gao Huo, MD, an expert survey and statistical analysis carried out to screen entry, to develop "epileptic syndromes Clinical Investigation Form "and an expert on the assessment of the average of all entries on the cards as entry element diagnostic weight.④Selected cases of epilepsy, pre-clinical investigation, according to pre-survey results, statistics "epileptic syndromes Clinical Investigation Form" in the absence of the entry rate, and the dialectical survey accuracy of the results, adjust the diagnosis threshold.⑤The "epileptic syndromes clinical survey", entry weight, diagnosis threshold combination of a whole, to develop "epileptic syndromes questionnaire."Results 16 provinces,46 experts completed the "expert survey", the expert response rate was 100%. Questionnaires returned pass rate:78.26%. Statistical average of all entries,O rates, standard deviation, coefficient of variation. Analysis, the high rate of entry to delete 0, formulated the "epileptic syndromes clinical survey." And expert assessment of each entry as the entry points check against an average weight of prime diagnosis, developed a "entry-Certificate prime weight table." Use the "epileptic syndromes Clinical Investigation Form" pre-clinical investigations,41 patients were investigated,100% pass rate survey. Which all entries are completed questionnaires in 29 cases, accounting for 70.73%. Statistics show the rate of entry of the missing entries in absence of seizures was more than ease of entry. Dialectical method of analysis by questionnaire investigation Evidence in pre-clinical distribution of the following characteristics:fire card, air card, closed cards, the most common phlegm; Kidney Yin Deficiency, followed by stasis; blood deficiency, spleen deficiency syndrome, renal Yang Deficiency rare. Of "epileptic syndromes survey" Assessment of the diagnostic accuracy of the show:Kidney Yin Deficiency sensitivity, specificity, consistent with rates above 90%; wind permits, Imaging and closed more than 90% compliance rate, sensitivity, specificity was also high, and the larger number of cases; fire card, phlegm, stasis in the diagnosis rate of 70%-80%; blood deficiency, spleen deficiency syndrome, deficiency syndrome consistent with rates up More than 90%, but fewer cases collected.Conclusion The preparation of the "epileptic syndromes questionnaire." The questionnaire includes nine card factor,75 items have been identified entry weight, threshold, and conducted pre-clinical investigation. The survey form to better represent our medicine, Integrative Medicine Neurology experts epilepsy syndrome of the majority opinion, for the future lay the foundation for large-scale clinical investigation.