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中国临床药理学与治疗学 ›› 2007, Vol. 12 ›› Issue (7): 808-813.

• 数学药理学 • 上一篇    下一篇

症状疗效量表的数学模型研究

吕映华, 许羚, 杨娟, 何迎春, 刘红霞, 孙瑞元, 郑青山   

  1. 上海中医药大学药物临床研究中心, 上海 201203
  • 收稿日期:2007-04-06 修回日期:2007-05-19 出版日期:2007-07-26 发布日期:2020-10-27
  • 通讯作者: 郑青山, 男, 博士, 教授, 博士生导师, 主要研究方向:临床药理学。Tel:021-51323006 E-mail:zhengqs11@21cn.com
  • 作者简介:吕映华,女,硕士研究生,主要研究方向:数学药理学。
  • 基金资助:
    上海重点学科建设项目(Y0302);上海市科研计划项目(06DZ19728);国家科技支撑计划项目(2006BAI08B04-7)

Study of mathematical models of scales for evaluating efficacy in symptomatology

LV Ying-hua, XU Ling, YANG Juan, HE Ying-chun, LIU Hong-xia, SUN Rui-yuan, ZHENG Qingshan   

  1. Center for Drug Clinical Research, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China
  • Received:2007-04-06 Revised:2007-05-19 Online:2007-07-26 Published:2020-10-27

摘要: 目的: 以多酶组合胶囊治疗消化酶不足引起消化不良的临床研究为实例, 建立一个症状疗效量表研究的数学模型。方法: 症状评分与其发生率(频率)、重要性(专家评定) 及严重性(轻中重) 有关, 由此建立含有以上3 种因素(因子) 的症状评分数学模型, 形成消化不良症状疗效的评分量表, 通过信度、效度、反应度和计算机模拟对此进行评价, 确认其可行性和合理性。结果: 6 个症状(上腹胀痛、早饱、食欲下降、嗳气、反酸和恶心) 作为疗效评分症状群, 根据其发生率、重要性和严重性确定了各自权重因子和量表等级分值。信度结果可靠, 一致性良好, 反应灵敏;模拟发现, 在不同的病例数(100~2000), 让各症状的重要性判断和发生率在10%的范围波动, 结果稳定。结论: 本法建立的消化不良症状疗效评分量表, 结果可靠, 可为同类研究提供参考。

关键词: 多酶组合胶囊, 消化不良, 量表, 数学模型, 模拟, 信度, 效度, 反应度

Abstract: AIM: To develop a symptom scale for evaluating efficacy of the multi-enzyme combination capsule in treatment of patients with dyspepsia symptoms be caused digestive enzyme insufficient. METHODS: The symptom score is always related to the incidence rate (f requency), the importance (evaluated by experts) and the serious degree (light, moderate and serious) in a measuring scale, and a mathematical model was proposed to calculate the weight factor and its scores for each symptom in the scale.In an example of the multi-enzyme combination capsule in treatment of patients with chemical dyspepsia, the efficacy was analyzed based on the symptom scales with this approach.The scale was evaluated with the reliability, the validity, the responsibility to change, and the simulation. RESULTS: Six symptoms (epigastric distention, easy satiety, the degression of appetite, belches, counter-sour and nausea) were selected as indices, and their weight factors and grades were calculated in score scales.Some evaluations demonstrated that the approach showed a better feasibility, uniformity, and responsibility to change.The sample size (100-2 000) and the flutter (10%) of the importance and the frequency yielded a little effect on total scores in simulation. CONCLUSION: This is a reliable approach in developing a scale of symptomatology for evaluating efficacy of drugs.

Key words: multi-enzyme combination capsule, dyspepsia, scale, mathematical model, simulation, reliability, validity, the responsibility to change

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