对中风病急性期以阴阳辨证代替传统九型辨证的可行性临床验证

Feasibility of Replacing Nine-pattern Syndrome Differentiation with Yin-yang Syndrome Differentiation for Acute Stroke

【目的】为适应中风急性期“紧急”的救治特点,将九型辨证标准(简称为“行标”)简化为阴阳类证辨证标准(简称为“简标”),并检测两法的一致性。【方法】将中风病急性期557例患者按照“简标”和“行标”的辨证标准进行同时期辨证,计算两者诊断的符合率及Kappa值。【结果】阳类证符合率为89.42%,阴类证符合率为98.37%,两种方法观察的一致率为95.33%,经Kappa计算K=0.89,说明两种辨证标准具有较高的一致性。【结论】“简标”与“行标”之间有一定的共通性,并具有相当好的辨证一致性;使用“简标”法辨证,有助于更好地把握中风急性期的辨证规律。

[ Objective ] To accommodate to the emergency treatment of acute stroke, nine-pattern syndrome differentiation （NPSD） and yin-yang syndrome differentiation （YYSD） were carried out in patients with acute stroke and the concordance between NPSD and YYSD was tested. [ Methods] Five hundred and fifty-seven acute stroke patients were classified with NPSD and YYSD simultaneously. The diagnostic coincident rate and its Kappa value were compared between the two methods. [Results] The coincident rate of yang-pattem syndromes was 89.42% and that of yin-pattem syndromes was 98.37%, and the total coincident rate was 95.33% with Kappa value being 0.89 between NPSD and YYSD. [ Conclusion] There has a good concordance between NPSD and YYSD. And YYSD is suitable for the classification of acute stroke.