基于模糊综合评判技术的神经系统效能针灸等级病谱研究

Graded-disease-spectrum of the Nervous System of Acu-moxibustion Therapy Was Determined Based on Its Clinical Efficacy and by Fuzzy Comprehensive Estimation Technique

目的:界定神经系统效能针灸等级病谱。方法:采用抽样调查的形式,在具有针灸专业背景的高级职称临床医师中,通过自填式问卷,实施具有描述性的学术专业横剖调查。对于针灸临床专家的意见,采用模糊综合评判技术进行统计处理。结果:通过对58种病症的126种亚型的统计分析,获得针灸Ⅰ级病谱14种亚型,Ⅱ级病谱53种亚型,Ⅲ级病谱22种亚型,Ⅳ级病谱37种亚型。结论:针灸治疗神经系统病症具有明显优势。

Objective To determine the graded-disease-spectrum of the nervous system of acu-moxibustion treatment based on its clinical efficacy.Methods We carried out a cross-sectional academic sample investigation on the graded-disease-spectrum of acu-moxibustion by collecting and analyzing data from the self-administered questionnaires which were completed by professional persons who have high-ranking professional titles（associate chief physicians and chief physicians） and are majoring in acupuncture and moxibustion.Then,the collected experts＇ opinions were analyzed by fuzzy comprehensive estimation technique and statistical processing.Results A total of 58 medical conditions involving 4 grades and 126 subtypes were included and analyzed.The Grade Ⅰ contains 14 subtypes as Bell＇s palsy（in the acute stage and convalescence stage）,primary sciatic neuralgia,migraine（mild type and moderate type）,etc.which can be relieved by using acu-moxibustion therapy only.The Grade Ⅱ contains 53 subtypes,such as transient cerebral ischemic attack,acute cerebrovascular disease（in the convalescence stage and sequelae stage）,chronic Bell＇s palsy（sequelae）,Hunt＇s facial palsy,etc.which can be relieved by using acu-moxibustion as the main therapy.The Grade Ⅲ contains 22 subtypes,such as acute stage of ischemic cerebrovascular disease（with coma and without coma）,acute stage of hemorrhagic ischemic cerebrovascular disease（with coma and without coma）,etc.which may be relieved to a certain degree by using acu-moxibustion as the supplementary or main therapy.The Grade Ⅳ contains 37 subtypes,such as Wohlfart-Kugelberg-Welander disease,myasthenia gravis（type Ⅲand type Ⅳ）,myasthenia gravis of medicinal herbs resource,chorea major,etc.whose clinical effects are not known if treated with acu-moxibustion.Conclusion Acu-moxibustion therapy has apparent advantages in the treatment of different clinical conditions of the nervous system.