基于《伤寒论》的六经辨证体系中医辨证模型推荐处方与临床医生处方结果的Kappa一致性分析

Kappa consistency analysis between the recommended prescription of TCM syndrome differentiation model of six-meridian syndrome differentiation system based on Treatise on Febrile Diseases and the prescription results of clinicians

目的分析基于《伤寒论》的六经辨证体系中医辨证模型推荐处方与临床医生处方结果的一致性。方法纳入门诊患者共747例,医生通过四诊的采集得出治疗处方,再以手机终端录入采集的相关症状、体征后得到系统推荐处方。利用Kappa一致性检验来评价基于《伤寒论》的六经辨证体系中医辨证模型推荐处方与临床医生处方结果的一致性。结果基于《伤寒论》的六经辨证体系中医辨证模型推荐处方与临床医生处方的结果具有高度一致性,差异具有统计学意义(Kappa=0.71,P<0.001)。结论基于《伤寒论》的六经辨证体系中医辨证模型推荐处方与临床医生处方结果具有一致性,可辅助临床医生处方。

Objective To analyze the consistency between the recommended prescriptions of the TCM syndrome differentiation model of six-meridian syndrome differentiation system based on Treatise on Febrile Diseases and the prescription results of clinicians.Methods A total of 747 outpatients were included.The doctor obtained the treatment prescription through the collection of the four diagnostic methods,and then entered the relevant symptoms and signs collected by the mobile terminal to obtain the recommended prescription of the system.Kappa consistency test was used to evaluate the consistency between the recommended prescriptions of the TCM syndrome differentiation model of six-meridian syndrome differentiation system based on Treatise on Febrile Diseases and the prescription results of clinicians.Results The results of the recommended prescriptions of the TCM syndrome differentiation model of six-meridian syndrome differentiation system based on Treatise on Febrile Diseases was highly consistent with the prescription results of clinicians,and the difference was statistically significant(Kappa=0.71,P<0.001).Conclusion The recommended prescription of TCM syndrome differentiation model of six-meridian syndrome differentiation system based on Treatise on Febrile Diseases is consistent with the prescription results of clinicians,which can assist clinicians in prescription.