The Exploration Of Establishing Scheme Which Is To Collect Information Of The Four Diagnostic Methods In TCM For Hospitalized Stroke Patients

BackgroundSyndrome differentiation treatment on ischemic stroke mainly depends on inspection, auscultation, olfaction, inquiry, pulse feeling and palpation nowadays. However, traditional Chinese medicine from the four diagnostic methods mainly rely on the doctor’s visual observation, language description, experience discrimination to judge disease and syndrome, the diagnosis result not only by the doctor’s knowledge level, thinking ability and diagnosis of skills limit, again by light, temperature and external environment condition the influence, the lack of an objective evaluation standard, make the accuracy of the syndrome differentiation and repeatability is poorer. The four diagnostic information collection as Chinese medicine, the study on the nature of Tibetan like card syndrome, animal model development, syndrome diagnosis, TCM compound efficacy research, clinical curative effect evaluation of the work foundation, just is to solve the current Chinese modern development problems met in the key link. Therefore, establishing a uniform, the objective of the four diagnostic information standardization collection method in the study of traditional Chinese medicine becomes frontier proposition. At present symptoms in traditional Chinese medicine, standardization and quantitative terms related industry standards and national standards, domestic researchers have to do a lot of work, and has already made a lot of achievements, set up in hospital for stroke patients based on the four diagnostic information standardization acquisition plan to lay the foundation.ObjectiveThe exploration of establishing scheme which is to collect information of the four diagnostic methods in TCM for hospitalized stroke patients, to form the four diagnostic information collection standard SOP initially, be objective specifications to scientific research results with repeatability.MethodsLab1is a expert advice. We by the sixth edition diagnostics of TCM as the foundation, the choice of the four diagnostic symptoms entries and article606of the entries as entries pool symptoms make consulting questionnaire, combining the expert of experts the weight coefficient statistics a screening of the entry.Lab2stroke is making traditional Chinese medicine from the four diagnostic information collection table exploration. In each symptoms to entries on basis of the definition of the standardization, and the research personnel training, and then to participate in the management of patients with slow disease measurement. And the introduction of Hong Kong university of science and technology provides the tongue instrument instrument tongue and quick pulse condition of the objective to explore.Lab3is in the experiment based on two production based on hospital patients the four diagnostic information collection table. Formulate ward stroke patients tongue acquisition standardized, set up the hospital stroke patients based on the four diagnostic information collection schemes, and the consistency test plan for verification.ResultLab1a recovery experts consultation questionnaire October, eliminate a500entries, and screened106items of symptoms.Lab2results indicate ischemic stroke recovery and sequela period of syndrome, qi and blood stasis syndrome is a card to give priority to, and more as a single card or simple combination is given priority to, also appeared part has six card has not seen the situation, do not eliminate and long-term slow disease outpatient service management related. Researchers scale collection evidence hou elements and expert evidence collection hou elements consistency test results show that only blood stasis syndrome of acquisition of the consistency of the general, kappa value reached0.491, and the deficiency syndrome (0.392) is also close to0.4. Tips to qi deficiency and blood stasis syndrome card symptoms related items can be identified degrees may be the higher. Hong Kong university of science and technology as the tongue of the instrument is the result of the collection of the pulse condition that is normal (reddish tongue, white moss, smooth pulse). Although the results of computer data acquisition to achieve a high degree of objective and rules, but about thickness, pulse amplitude of the coating on the promotion, the circumstance such as did not collected, the sensitivity still seems to be further improved. Through the implementation of the second experiment, make sure the principle of the symptoms entries, determine scale acquisition of the SOP, further improved the scale.Lab3is based on hospital patients made four diagnostic information collection table. After the first round of exploration, the experimental initially constructs in stroke patients based on the four diagnostic information collection schemes, and the consistency test for verification scheme, and the results indicated that the scheme have a certain standard, and have a good practical.ConclusionThe research primarily established based on stroke patients in hospital four diagnostic information collection program, and the specific analysis in three times the experiment the possible problems and and proposes the suitable solution, for the subsequent investigation provide the beneficial reference.