主 办:北 京 中 医 药 大 学
ISSN 1006-2157 CN 11-3574/R

JOURNAL OF BEIJING UNIVERSITY OF TRADITIONAL CHINESE MEDICINE ›› 2020, Vol. 43 ›› Issue (2): 171-176.doi: 10.3969/j.issn.1006-2157.2020.02.011

• Clinical Studies • Previous Articles    

Designing of evaluation scale for Gastrointestinal Heat Retention Syndrome in children*

Ma Xueyan1, Yu He1,Wu Liqun2,Mei Chencheng1, Li Zhuo1, Huang Ling1, Cui Lijun1, Liu Shaoyang1, Xu Jingnan1, Liu Tiegang1, Gu Xiaohong1#   

  1. 1 School of Chinese Medicine, Beijing University of Chinese Medicine, Beijing 100029, China;
    2 Dongfang Hospital, Beijing University of Chinese Medicine)
  • Received:2019-07-16 Published:2020-03-24
  • Contact: Prof. Gu Xiaohong, MMed, Chief Physician, Doctoral Supervisor. Beijing University of Chinese Medicine, No. 11 Beisanhuandonglu, Chaoyang District, Beijing 100029, China. E-mail: guxh1003@126.com
  • Supported by:
    National Natural Science Foundation of China (No.81373769); Basic Research Program for Graduates, Beijing University of Chinese Medicine (2017-JYB-XS-013)

Abstract: Objective To develop the evaluation scale for Gastrointestinal Heat Retention Syndrome(GHRS) in children. Methods 453 children were enrolled and 38 symptoms and signs of the subjects were collected by medical professionals. Classical Test Theory and Item Response Theory were used to select items. Items were selected through five statistical methods including classical test theory of discrete trends analysis, correlation coefficient analysis, Cronbach’s αcoefficient analysis and factor analysis, as well as item response theory. The items which were tested to be acceptable according to 4 or 5 methods would be kept and enlisted in the evaluation scale under the guidance of professional knowledge. Results The evaluation scale consisted of 26 items, including red complexion, red lips, pharyngeal redness and swelling, red tongue, yellow tongue fur, feverish feeling in palms and soles, rapid pulse, slippery pulse, aversion to heat, halitosis, hot mouth and nasal breath, thirst with preference for cold drinks, abnormal appetite, abdominal pain, smelly flatus,reduced frequency of defecation, dry stool, difficult defecation, smelly stool, yellow urine, sweating at night, restless sleep at night, vexation and irascibility,nasal crust, susceptibility to respiratory tract infection, and symptoms worsened after improper diet. There were 11 binary variables and 15 quadruple variables graded by frequency or severity degree. Conclusion The evaluation scale for GHRS in children is developed, which can be used in the study of GHRS and GHRS-related diseases in children.

Key words: Gastrointestinal Heat Retention Syndrome (GHRS), evaluation scale, classical test theory, item response theory

CLC Number: 

  • R255.4