The Development Of TCM PRO Initial Scale Of The Sequelae (Long-term Sequelae) Of Pelvic Inflammatory Disease

Purposes:Explore the features of the Sequelae (Long-term Sequelae) of Pelvic Inflammatory Disease through its distribution, composition and related factors of TCM syndrome based on the results of literature research; identify the core symptoms of the disease's symptoms factors with statistical methods and develop the disease's TCM PRO primary scale according to the item pool of syndrome classification for the foundation of the perfection of TCM differentiation scale of the Sequelae (Long-term Sequelae) of Pelvic Inflammatory Disease and the identification of the threshold value for diagnosis, in order to provide a theoretical basis for standardized clinical diagnosis and also clinical prevention and treatment.Methods:1.Literature research:Analyze the distribution of symptoms factors of the Sequelae (Long-term Sequelae) of Pelvic Inflammatory Disease and then develop the item pool of the disease's PRO scale through studying the relevant literature collected.2.Conduct a survey on the experts to select items and then formulate the 'Expert Advisory Table of the Selected Items of TCM PRO Scale of the Sequelae (Long-term Sequelae) of Pelvic Inflammatory Disease' according to the Delphi method after optimization and screening of the items.3.Conduct a sample survey of 152 patients to form a primary scale on the use of the statistical approach to screen items, such as discrete method, correlation coefficient method, cronbach's alpha coefficient and cluster analysis method, then have an evaluation of reliability and validity on it.Results:1. Sort out and regulate 87 types of syndromes through the analysis on literature. 2. The disease has three groups of symptoms, which are abdominal pain, menstruation changes and vaginal discharge diseases. Body moisture, blood stasis, heat, Qi stagnation, and Qi deficiency are the five categories of the primary genius morbi. The disease is majorly located in liver, spleen, and kidney.3.90 subjective syndrome items are selected into the item pool based on the statistical analysis of the different syndrome scales.4.After evaluation of the primary scale, the result is:the primary scale has better reliability and structural validity.Conclusion:1. The Sequelae (Long-term Sequelae) of Pelvic Inflammatory Disease is a complicated chronic disease, which has long course and is easy to recurrent. The disease has many causes including dampness, stagnation and heat and involves liver, spleen, and kidney. 2. The PRO primary scale of the Sequelae (Long-term Sequelae) of Pelvic Inflammatory Disease, formed under the guidance of the TCM theory, is a comprehensive index system combining disease and syndrome. The primary scale aims to lay the foundation of the perfection of the TCM differentiation scale of the Sequelae (Long-term Sequelae) of Pelvic Inflammatory Disease and the identification of the threshold value for diagnosis for the next step, hence to provide a theoretical basis for standardized clinical diagnosis and also clinical prevention and treatment. The scale has better reliability and structural validity, and it can be used in clinical. It's a great help to improving the accuracy of clinical diagnosis and clinical research.