Research On TCM Consensus Methodology Based On Multi-attribute Decision-making

As a guiding document for medical practice,expert consensus has attracted more and more attention for its research.As a common method of converging and synthesizing medical doctors' empirical information,the consensus method can not only assist clinical experts in decision-making and guide clinical practice,but also provide new ideas and methods for theoretical research,experience inheritance and knowledge mining of traditional Chinese medicine.In the process of consensus research,the research object has multiple attributes,which requires group experts to intervene on multi-attribute issues to reach consensus.Therefore,the process of consensus research is essentially a multi-person multi-attribute decision-making process.Due to the different attributes of decision-making experts under the influence of various factors,both multi-person and multi-attribute issues,both of which increase the difficulty of consensus research by influencing the expert's knowledge of the research object,so,To solve the consensus problem,we first need to solve the multi-attribute problem,and then help solve the multi-person problem through the resolution of the multi-attribute problem,and finally reach a high-quality consensus.When solving multi-attribute decision-making problems in the field of traditional Chinese medicine,it is the attributes of the doctor,the drug and the patient that affect the decision.Analysis of the attributes of these three aspects finds the real influencing factors of clinical decision-making.But the solution of multi-attribute decision-making problem is a complete process.Under the premise of solving the attribute problem,then grasping other points can really solve the multi-attribute decision-making problem in the field of Chinese medicine consensus research,and then lay a good foundation for reaching consensus basis.This research mainly defines the multi-attribute decision-making problem and related points in solving multi-attribute decision-making problem in the consensus research in the field of traditional Chinese medicine,such as the selection of attributes,the construction principles of attribute sets,and the methods of determining attribute weights.Research purposes:1.Methodological level:Solve the multi-attribute decision-making problem in consensus research.The consensus process is a complex decision-making process involving multiple people and multi-attribute intervention.The solution to the multi-person problem lies in solving the multi-attribute decision problem.Solving the problem of multi-attribute decision-making in consensus research will break the bottleneck in consensus research and facilitate the improvement of consensus research methodology.2.Case study level:According to the definition of multi-attribute decision-making in the field of traditional Chinese medicine,the multi-attribute decision-making method is applied to the empirical analysis,and the clinical research on the treatment of polycystic ovary syndrome with gynecological reconstruction capsules(pills)as an example.Attribute decision-making model,complete the solution of multi-attribute decision-making problem in the clinical research of gynecology reinvented capsules(pills)for the treatment of polycystic ovary syndrome.Research methods:1.Clarify the problem.Define the attributes in the multi-attribute decision-making problem in the field of Chinese medicine,and clarify the multi-attribute decision-making problem in the field of Chinese medicine;Based on the multi-attribute decision theory and based on the idea of comprehensive integration,the objective screening of indicators is completed,and a scientific,objective and reasonable evaluation indicator system is established.3.Quantitative qualitative indicators.Quantitative processing of qualitative indicators to facilitate calculation of results;4.Normalization of indicators.Normalize the indicator according to the indicator type to eliminate the influence between different units and different dimensions of the indicator;5.Indicator weighting.A combination of subjective weighting method and objective weighting method is used to determine the weight of attributes.6.Comprehensive ranking of programs.The method for solving the weight of decision makers in the group decision-making process is given,and the TOPSIS ranking method is used to comprehensively rank to obtain the ranking result.7.Result analysis.Theranking results are comprehensively analyzed to study the feasibility of applying multi-attribute decision-making methods in the field of Chinese medicine.Research results:Through the multi-attribute decision-making method,the concrete solution of the multi-attribute decision-making problem in the field of Chinese medicine consensus is completed.The results of a series of problems in the treatment of polycystic ovary syndrome with gynecological reconstruction capsules(pills)based on this are as follows:1.Regarding the clinically adapted TCM syndromes,gynecological reconstruction capsules(pills)for sputum in the treatment of polycystic ovary syndrome The effect of patients with wet block type is better;2.Regarding the improvement of a series of symptoms of polycystic ovary syndrome,gynaecological reconstruction capsule(pill)is more effective in improving the symptoms of menstrual thinning.3.Regarding the improvement of sex hormone indexes,the gynecological reconstruction capsule(pill)can best improve the level of estradiol(E2)in patients with polycystic ovary syndrome;Most experts believe that the effect of non-time service is better.5.Regarding the combined use of gynecological reconstituted capsules(pills),gynecological reconstituted capsules(pills)are often used in combination with cyproterone acetate(Daying-35)to treat polycystic ovary syndrome.6.According to the preliminary survey results,there are no obvious adverse reactions in the clinical application of the drug,and it is impossible to set alternative answers.However,due to the importance of the potential risks of adverse reactions,an open investigation should still be carried out.Research conclusion:1.The empirical analysis of the treatment of polycystic ovary syndrome with gynaecological reconstruction capsules(pills)as an example also proves thefeasibility and operability of the multi-attribute decision-making method in the field of Chinese medicine consensus,providing ideas and methods for consensus research in the field of Chinese medicine Learn from the study to promote the progress and development of consensus research;2.Multi-attribute decision-making method is based on multi-attribute decision theory,taking into account the influencing factors of expert decision-making to make comprehensive decisions.Unlike the general consensus method,the multi-attribute decision-making method does not obtain the results directly from the expert judgment,but through the standardized processing of the questionnaire data,comprehensively consider the factors that affect the expert's decision-making,and invite the expert to score the influencing factors.Finally,the preference information of expert attributes is assembled to complete the convergence of expert opinions.3.The questionnaire constructed by the multi-attribute decision-making method can not only gather expert clinical experience,but also clearly understand the factors that affect the expert's decision-making,clarify the real reason behind the clinical expert's decision,and further understand the doctor's thinking,which is beneficial to traditional Chinese medicine Inheritance and development of academic ideas and clinical experience of medical experts in the field.