陕西中医药大学学报2026，Vol.49Issue(2)：134-142,9.DOI:10.13424/j.cnki.jsctcm.2026.02.024
基于病机辨证学的桥本氏甲状腺炎微信小程序临床观察表研制及实施
Development and Implementation of Clinical Observation Table for Hashimoto's Thyroiditis Based on Syndrome Differentiation of Pathogenesis
摘要
Abstract
Objective To make relevant clinical observation scale,perfect the quantitative research on Hashimoto's thyroiditis,and provide more standard and accurate reference for clinical diagnosis and treatment.Methods By searching the medical case papers of Hashimoto's thyroiditis'treatment with Chinese medicine published in recent 20 years,and mining the data of the obtained literatures to find out the symptoms and syndrome elements involved.Taking the related symptoms as the item pool,the symptoms and syndrome elements were scored,the questionnaire was designed according to the symptom item pool,and the clinical observation table was developed in the form of WeChat mini-program.Results A total of 92 articles and 122 medical records were included in the search,involving 82 symptoms and 20 common pathogenesis syndrome elements.The common symptoms are"fatigue","goiter","dysphoria","poor sleep","poor appetite","neck swelling","palpitation","sweating","fear of cold"and"irregular menstruation".Common pathogenesis syndrome elements are"spleen","qi deficiency","depression","phlegm","liver","kidney","yin deficiency","yang deficiency","blood stasis"and"heat".The symptoms and syndrome elements were assigned accordingly,and the total score was 550.According to the results,they were assigned to design the problem and develop the small program.Conclusion clinical observation table of Hashimoto's thyroiditis was preliminarily developed in this study,which is conducive to the epidemiological investigation of Hashimoto's thyroiditis,and has certain guiding significance for the clinical standard and accurate diagnosis and treatment.关键词
中医/桥本甲状腺炎/临床医案/数据挖掘/临床观察表Key words
traditional Chinese medicine/hashimoto's thyroiditis/clinical medical records/data mining/clinical observa-tion table分类
医药卫生引用本文复制引用
邹鋆,李瑞华,张徵羽,倪俊杰,朱垚,陆明..基于病机辨证学的桥本氏甲状腺炎微信小程序临床观察表研制及实施[J].陕西中医药大学学报,2026,49(2):134-142,9.基金项目
江苏省六大人才高峰项目(013034004002) （013034004002）
江苏省"333高层次人才培养工程"[(2018)Ⅲ-0121] （2018）
国家级非物质文化遗产代表性项目(205IX-2) （205IX-2）
南京市非物质文化遗产代表性项目(NJVⅢ-20) （NJVⅢ-20）
南京市浦口区非物质文化遗产代表性项目(PKIX-4) （PKIX-4）
国医大师周仲瑛甲状腺疾病辨治规律挖掘及临床决策支持系统构建与应用(Z2020024) （Z2020024）
江苏省科技型企业技术创新资金(BC2015022) （BC2015022）
