Construction of Syndrome Diagnosis Scale for Chronic Atrophic Gastritis with Turbid Toxin and Stomach Accumulation Based on Delphi Method and Analytic Hierarchy Process
10.13422/j.cnki.syfjx.20252495
- VernacularTitle:基于德尔菲法及层次分析法慢性萎缩性胃炎浊毒蕴胃证证候诊断量表的构建
- Author:
Zhihua LIU
1
;
Xiaoyu LIU
2
;
Yuman WANG
2
;
Runze LI
2
;
Hua LI
2
;
Runxue SUN
3
;
Shaopo WANG
3
;
Jianming JIANG
2
;
Yanru DU
3
Author Information
1. Handan Hospital of Integrated Traditional Chinese and Western Medicine，Handan 056001，China
2. Hebei University of Chinese Medicine，Shijiazhuang 050200，China
3. Hebei Provincial Hospital of Traditional Chinese Medicine，Shijiazhuang 050001，China
- Publication Type:Journal Article
- Keywords:
chronic atrophic gastritis;
syndrome of turbid toxin accumulating in stomach;
diagnostic scale;
Delphi method;
analytic hierarchy process
- From:
Chinese Journal of Experimental Traditional Medical Formulae
2026;32(11):235-243
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo construct a scale for the diagnosis of chronic atrophic gastritis （CAG） with turbid toxin accumulating in the stomach. MethodsFirst， a research group was established to construct the scale framework. Relevant literature of CAG with syndrome of turbid toxin accumulating in the stomach was searched in CNKI， Wanfang Database （WF）， and VIP Database （CQVIP） from April 1， 2003 to April 1， 2023， and items were preliminarily selected after standardization of terms. Through clinical investigation， the discrete trend method， correlation coefficient method， Cronbach's coefficient method， and factor analysis method were used to screen symptom items， and the frequency method was used to screen signs， tongue coating， and pulse conditions. Three rounds of Delphi expert consultation were conducted to determine the items of the scale. The weight of each item was obtained by the analytic hierarchy process. ResultsA total of 49 articles were included， and 45 items were obtained after primary screening， including 28 symptoms， 2 signs， 10 tongue coatings， and 5 pulse conditions. After clinical investigation， 15 symptoms were retained， and 8 signs and pulse conditions of tongue coating were retained. The positive coefficients of experts in three rounds of Delphi expert consultation were 100%， 96.67%， and 100%， respectively. The expert authority coefficients were 0.86， 0.87， and 0.87， respectively， and the coordination coefficients were 0.18， 0.25， and 0.30. After core group discussion， Delphi method investigation， and AHP weight assignment， the diagnostic scale items of CAG with turbid toxin accumulating in stomach syndrome were finally established， namely， dark red or purplish tongue proper with yellow greasy （or dry） coating （30 points）， epigastric stuffiness and fullness or pain （15 points）， sticky and unsmooth defecation （10 points）， taste disturbance （sticky mouth， fetid breath， bitter taste， 7 points）， heartburn or acid regurgitation （6 points）， dizziness and clouding （5 points）， general heaviness and fatigue （5 points）， slippery， string‑slippery， or slippery‑rapid pulse （5 points）， dysuria （or yellow or deep yellow urine， 4 points）， poor appetite （4 points）， dull complexion （3 points）， sticky， greasy， and fetid secretions （3 points）， and poor sleep （3 points）. ConclusionBased on the establishment， screening， confirmation， and weighting of an item pool， combined with subjective and objective approaches as well as qualitative and quantitative methods， a diagnostic scale for CAG with the syndrome of turbid toxin accumulating in the stomach was successfully constructed.
