• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

相似文献

1
Analysis of agreement on traditional chinese medical diagnostics for many practitioners.多位中医从业者间中医诊断一致性分析。
Evid Based Complement Alternat Med. 2012;2012:178081. doi: 10.1155/2012/178081. Epub 2011 Jun 30.
2
Visual agreement analyses of traditional chinese medicine: a multiple-dimensional scaling approach.中医视觉一致性分析：一种多维标度法。
Evid Based Complement Alternat Med. 2012;2012:516473. doi: 10.1155/2012/516473. Epub 2012 Sep 17.
3
Measuring inter-rater reliability for nominal data - which coefficients and confidence intervals are appropriate?测量名义数据的评分者间信度——哪些系数和置信区间是合适的？
BMC Med Res Methodol. 2016 Aug 5;16:93. doi: 10.1186/s12874-016-0200-9.
4
A cloud system for mobile medical services of traditional Chinese medicine.一种用于中医移动医疗服务的云系统。
J Med Syst. 2013 Dec;37(6):9978. doi: 10.1007/s10916-013-9978-8. Epub 2013 Oct 1.
5
Traditional Chinese medicine tongue inspection: an examination of the inter- and intrapractitioner reliability for specific tongue characteristics.中医舌诊：针对特定舌象特征的不同医生间及医生自身诊断可靠性的一项研究
J Altern Complement Med. 2008 Jun;14(5):527-36. doi: 10.1089/acm.2007.0079.
6
Reliability in evaluator-based tests: using simulation-constructed models to determine contextually relevant agreement thresholds.基于评估者的测试的可靠性：使用模拟构建的模型确定上下文相关的一致性阈值。
BMC Med Res Methodol. 2018 Nov 19;18(1):141. doi: 10.1186/s12874-018-0606-7.
7
Variability in the traditional Chinese medicine (TCM) diagnoses and herbal prescriptions provided by three TCM practitioners for 40 patients with rheumatoid arthritis.三位中医从业者为40名类风湿性关节炎患者提供的中医诊断和草药处方的差异性。
J Altern Complement Med. 2005 Jun;11(3):415-21. doi: 10.1089/acm.2005.11.415.
8
A Novel Approach to Describing Traditional Chinese Medical Patterns: The "Traditional Chinese Medical Diagnostic Descriptor".一种描述中医模式的新方法：“中医诊断描述符”。
J Altern Complement Med. 2019 Nov;25(11):1121-1129. doi: 10.1089/acm.2018.0065. Epub 2019 Aug 21.
9
Can Reliability of the Chinese Medicine Diagnostic Process Be Improved? Results of a Prospective Randomized Controlled Trial.中医诊断过程的可靠性能否提高？一项前瞻性随机对照试验的结果。
J Altern Complement Med. 2019 Nov;25(11):1103-1108. doi: 10.1089/acm.2019.0260.
10
Improvement of agreement in TCM diagnosis among TCM practitioners for persons with the conventional diagnosis of rheumatoid arthritis: effect of training.传统诊断为类风湿关节炎患者的中医诊断中，中医师之间诊断一致性的改善：培训的效果
J Altern Complement Med. 2008 May;14(4):381-6. doi: 10.1089/acm.2007.0712.

引用本文的文献

1
Retroflex tongue as a non-invasive neurological marker of functional severity in older adults with ischemic stroke: a retrospective observational study.后返舌作为缺血性中风老年患者功能严重程度的非侵入性神经学标志物：一项回顾性观察研究。
Front Neurol. 2025 Aug 20;16:1632351. doi: 10.3389/fneur.2025.1632351. eCollection 2025.
2
TonguExpert: A Deep Learning-Based Algorithm Platform for Fine-Grained Extraction and Classification of Tongue Phenotypes.舌象专家：基于深度学习的舌象细粒度提取与分类算法平台
Phenomics. 2025 Mar 26;5(2):109-122. doi: 10.1007/s43657-024-00210-9. eCollection 2025 Apr.
3
Exploring the pivotal variables of tongue diagnosis between patients with acute ischemic stroke and health participants.探索急性缺血性中风患者与健康参与者之间舌诊的关键变量。
J Tradit Complement Med. 2022 Apr 7;12(5):505-510. doi: 10.1016/j.jtcme.2022.04.001. eCollection 2022 Sep.
4
Experimental Studies of Inter-Rater Agreement in Traditional Chinese Medicine: A Systematic Review.中医领域中评价者间一致性的实验研究：系统综述。
J Altern Complement Med. 2019 Nov;25(11):1085-1096. doi: 10.1089/acm.2019.0197.
5
Advances in automated tongue diagnosis techniques.自动舌诊技术的进展。
Integr Med Res. 2019 Mar;8(1):42-56. doi: 10.1016/j.imr.2018.03.001. Epub 2018 Mar 8.
6
Visual agreement analyses of traditional chinese medicine: a multiple-dimensional scaling approach.中医视觉一致性分析：一种多维标度法。
Evid Based Complement Alternat Med. 2012;2012:516473. doi: 10.1155/2012/516473. Epub 2012 Sep 17.
7
Interobserver reliability of tongue diagnosis using traditional korean medicine for stroke patients.应用传统韩国医学对脑卒中患者进行舌诊的观察者间可靠性。
Evid Based Complement Alternat Med. 2012;2012:209345. doi: 10.1155/2012/209345. Epub 2012 Feb 28.

本文引用的文献

1
Weighted kappa: nominal scale agreement with provision for scaled disagreement or partial credit.加权kappa系数：用于衡量名义尺度上的一致性，并考虑了尺度不一致或部分得分的情况。
Psychol Bull. 1968 Oct;70(4):213-20. doi: 10.1037/h0026256.
2
Understanding the reliability of diagnostic variables in a Chinese Medicine examination.了解中医诊断变量的可靠性。
J Altern Complement Med. 2009 Jul;15(7):727-34. doi: 10.1089/acm.2008.0554.
3
Effects of questionnaire-based diagnosis and training on inter-rater reliability among practitioners of traditional Chinese medicine.基于问卷的诊断与培训对中医从业者之间评分者信度的影响。
J Altern Complement Med. 2009 Jul;15(7):703-9. doi: 10.1089/acm.2008.0488.
4
Improvement of agreement in TCM diagnosis among TCM practitioners for persons with the conventional diagnosis of rheumatoid arthritis: effect of training.传统诊断为类风湿关节炎患者的中医诊断中，中医师之间诊断一致性的改善：培训的效果
J Altern Complement Med. 2008 May;14(4):381-6. doi: 10.1089/acm.2007.0712.
5
Traditional Chinese medicine tongue inspection: an examination of the inter- and intrapractitioner reliability for specific tongue characteristics.中医舌诊：针对特定舌象特征的不同医生间及医生自身诊断可靠性的一项研究
J Altern Complement Med. 2008 Jun;14(5):527-36. doi: 10.1089/acm.2007.0079.
6
Quantitative guidelines for communicable disease control programs.传染病控制项目的定量指南。
Biometrics. 1978 Mar;34(1):142.

多位中医从业者间中医诊断一致性分析。

Analysis of agreement on traditional chinese medical diagnostics for many practitioners.

机构信息

Department of TCM, Changhua Christian Hospital, 135 Nanxiao Street, Changhua City 500, Taiwan.

出版信息

Evid Based Complement Alternat Med. 2012;2012:178081. doi: 10.1155/2012/178081. Epub 2011 Jun 30.

DOI:10.1155/2012/178081
PMID:21765855
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3133885/
Abstract

In Traditional Chinese Medicine (TCM) diagnostics, it is an important issue to study the degree of agreement among several distinct practitioners. In order to study the reliability of TCM diagnostics, we have to design an experiment to simultaneously deal with both of the cases when the data is ordinal and when there are many TCM practitioners. In this study, we consider a reliability measure called "Krippendorff's alpha" to investigate the agreement of tongue diagnostics in TCM. Besides, since it is not easy to obtain a large data set with patients rated simultaneously by many TCM practitioners, we use the renowned "bootstrapping" to obtain a 95% confidence interval for the Krippendorff's alpha. The estimated Krippendorff's alpha for the agreement among ten physicians that discerned fifteen randomly chosen patients is 0.7343, and the 95% bootstrapping confidence interval for the true alpha coefficient is [0.6570, 0.7349]. The data was collected and analyzed at the Department of Traditional Chinese Medicine, Changhua Christian Hospital (CCH) in Taiwan.

摘要

在中医（TCM）诊断中，研究几位不同医师之间的一致性程度是一个重要问题。为了研究 TCM 诊断的可靠性，我们必须设计一个实验来同时处理数据为有序和有许多 TCM 医师的情况。在这项研究中，我们考虑了一种称为“克里彭多夫α”的可靠性度量标准，以研究中医舌诊的一致性。此外，由于很难获得同时由许多 TCM 医师对患者进行评分的大型数据集，因此我们使用著名的“自举”方法来获得克里彭多夫α的 95％置信区间。辨别十五位随机选择的患者的十位医师之间的一致性的估计克里彭多夫α为 0.7343，真实α系数的 95％自举置信区间为[0.6570,0.7349]。数据是在台湾彰化基督教医院（CCH）的传统中医部门收集和分析的。