Middle-late Primary Lung Qi Deficiency Syndrome Classification Of Quantitative Diagnostic Criteria Of Exploratory Research

Research objects and methodsThis research observed106patients who were in (Guang an men hospital oneology endemie area during2012.6—2012.11, rejected those whose data-entries were incomplete and defluxion during the research process,at last98cases were collected.Divided these cases into two groups(AandB). Group A (processing group):61examples, male36, female25,aged from30to80,averaged65.43. Group B (check group):37examples, male17,female20,aged from41to80, averaged69.According to "guide principle about new traditional Chinese drug’s clinical research"(trial) of qi deficiency syndrome as a reference standard, for the investigation of cases. By syndrome differentiation, There are18pations of qi deficiency and42cases without it in group A and there are12pations of qi deficiency and25cases without it in group B. First division as computing group is used to establish quantitative diagnosis standard, group B for test group, used for quantitative diagnostic criteria of the prospective inspection. The research methodsQi deficiency of syndrome diagnosis standards will involve the symptoms of primary lung cancer clinical syndrome, based on principles of practicability and is convenient for operation diagnosis of the entry into, and the development of epidemiological questionnaire. Screen out only appeared once symptoms of the project, final diagnosis of primary bronchial lung qi deficiency syndrome quantitative standard observation items identified as:weakness, fatigue, lazy, voice low, spontaneous perspiration, fear of wind, white dizzy, easy to catch a cold, fever, head slightly swollen limbs, breathing, shortness of breath, valley, jasmine, less stool thin pond, the body tired, food after abdominal distention, bowel, KouDan, bai qing dilute sputum, chest tightness, heart palpitations, flustered, coughing up phlegm, the diagnosis is unwell, addicted to lying, angular, cough sound weakness, pale tongue, whitish, tongue and big fat or see teeth marks, pulse string big weakness, weak pulse, pulse, a total of33observation project. All the indexes above were set as analytic data for formulate the quantify criterion.We select faetors related to intermediate and advanced stage Primarily lung cancer patient’s Qi dificiency syndrome by statistics comparison method, established factors score table by conditional probability reforming method; established luminal value of quantify criterion by maximum likelihood diserimination method:carry out retrospective and prospective study by clinical epidemiology diagnostic test method:established degree-class i fy cri terion by cluster analys i s method. Statistics apply SPSS18.0. The results of the studyAfter statistical analysis, we finally make the specific content of lung qi deficiency syndrome quantitative diagnostic criteria:god exhausted (6), fatigue (13), lazy to talk (7points), dizziness (8points), breathing, shortness of breath (15points), chest tightness (7points), pale tongue (4points), the diagnostic threshold for24points, and24points-38divided into mild qi deficiency syndrome,38to48divided into moderate qi deficiency syndrome,48points or above for severe deficiency syndrome. Established diagnostic criteria for the study were prospectively test:sensitivity91.67%, specificity88.00%, accuracy of89.19%, positive likelihood ratio7.64, negative likelihood ratio of1.04indicates that a better diagnostic significance.ConclusionThrough the above research, the content of lung qi deficiency syndrome classification of quantitative diagnosis in god weakness, fatigue, lazy, dizziness, shortness of breath, chest tightness, breathing, pale tongue; Maximum likelihood ratio and the clustering analysis method, and ultimately determine the middle-late quantitative diagnosis of primary lung qi deficiency syndrome classification:god exhausted (6points), fatigue (13),(7points) lazy words, dizziness (8), breathing, shortness of breath (15points), light (4points), tongue diagnosis threshold for24points, and it can be divided into light (24points-38points), medium (38points-48), weight (48points) level3.