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1.
Chinese Journal of Integrated Traditional and Western Medicine ; (12): 1036-1041, 2013.
Artículo en Chino | WPRIM | ID: wpr-359261

RESUMEN

<p><b>OBJECTIVE</b>To evaluate the validity, reliability, and clinical applicability of Chinese medicine syndrome diagnostic standards for coronary heart disease (CHD) patients after percutaneous coronary intervention (PCI), which was established by expert consultation.</p><p><b>METHODS</b>A total of 1 050 CHD patients after PCI were recruited from 23 hospitals. The sensitivity, specificity, accuracy, positive likelihood ratio, and area under ROC curve were used to evaluate the validity of diagnostic standards for Chinese medical syndrome types. The observable agreement rate and Kappa value were used to evaluate the reliability. Positive predictive value and negative predictive value were used to evaluate the clinical applicability.</p><p><b>RESULTS</b>The sensitivity, specificity, accuracy, positive likelihood ratio, area under ROC curve, observable agreement rate, Kappa value, positive predictive value, and negative predictive value of each Chinese medicine syndrome in CHD patients after PCI were as follows: 95.26%, 93.70%, 94.86%, 15.13, 0.924, 98.76%, 0.969, 97.76%, and 87.24% for blood stasis syndrome; 96.42%, 95.34%, 96.00%, 20.70, 0.957, 99.52%, 0.990, 97.02%, and 94.42% for qi deficiency syndrome; 88.19%, 96.46%, 94.19%, 24.89, 0.923, 96.67%, 0.915, 90.39%, and 95.58% for phlegm turbidity syndrome; 91.06%, 98.77%, 97.05%, 74.22, 0.950, 98.67%, 0.960, 95.54%, and 97.46% for cardiac blood stasis syndrome; 98.41%, 96.73%, 97.33%, 30.10, 0.976, 98.86%, 0.976, 94.40%, and 99.09% for qi deficiency blood stasis syndrome; 94.81%, 94.75%, 94.76%, 18.07, 0.948, 97.71%, 0.918, 72.73%, and 99.20% for phlegm-stasis stagnation syndrome.</p><p><b>CONCLUSION</b>The validity, reliability, and clinical applicability of Chinese medicine syndrome diagnostic standards for CHD patients after PCI were rational and considerable in clinical practice.</p>


Asunto(s)
Humanos , Enfermedad Coronaria , Diagnóstico , Medicina Tradicional China , Métodos , Intervención Coronaria Percutánea , Valor Predictivo de las Pruebas , Sensibilidad y Especificidad
2.
Chinese journal of integrative medicine ; (12): 307-312, 2009.
Artículo en Inglés | WPRIM | ID: wpr-344992

RESUMEN

The inflammation factors and roles of them in acute coronary syndrome (ACS) were explored. The similarity between the theory of pathogenic toxin in Chinese Medicine and the inflammation response theory in ACS was discussed. The exploration of new inflammatory factors may be helpful for Chinese Medicine in the research of ACS.


Asunto(s)
Humanos , Síndrome Coronario Agudo , Diagnóstico , Terapéutica , Inflamación , Patología , Terapéutica , Mediadores de Inflamación , Fisiología , Medicina Tradicional China , Pronóstico , Toxinas Biológicas
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