摘要
目的:修订形成科学合理、规范实用的《中医儿科诊疗指南·疳证》。方法:在2012版疳证指南的基础上,结合前期文献研究总结,采用德尔菲法(Delphi)法,撰写第1轮问卷调查表,在对第1轮调查问卷结果的编辑处理后,制定第2轮问卷调查表,经过对两轮问卷调查结果的总结分析处理,形成疳证指南的草稿。结果:专家对两轮调查问卷中的各项指标总体意见集中程度较高,协调性较好;关于证候分型大部分专家仍坚持目前的主证、兼症分类方法,证候新说有待进一步研究;针对临床中存在的许多的疳证无从辨证,或治疗具有特异性,提出的关于"应将其从疳证中分离出来,成为独立的疾病使疳证的分类趋于简便适用"的观点专家意见一致性较差;选方用药方面专家意见集中程度较高,协调性较好。结论:本次调查问卷专家积极系数较高,专业水平较高,地域分布较广,具有良好的代表性,调查问卷的大部分观点得到专家的认可,有些地方存在的分歧,有待进一步商榷。
Objective： To revised a scientific and reasonable, standardized and practical TCM Guideline on infantile malnutrition. Methods： On the basis of the 2012 edition of the Guideline, combined with previous litera- ture review, using the Delphi method, write the first round of questionnaires, and then write the second round, after the analysis of the results of two rounds of questionnaire survey, then formed a draft guide. Results： Over- all, the experts on the two rounds of the questionnaire in the indicators shared a positive view on the concen- tration and coordination degree, most experts still insist on the current classification method on syndromes, the new part of syndromes needs further study. In order to solve the clinical problems, many malnutrition syndromes do not belong to any syndromes, or treatment specificity, we proposed that separated them from infantile malnu- trition to become independent diseases. The concentration and coordination degree is low. But prescription selection is high. Conclusion： The enthusiasm and professional level of experts are high. The distribution area is wide and representative. Most views of the questionnaire were recognized by experts, the divergence in some areas re- mains to be further discussed.
出处
《中医药导报》
2017年第16期48-50,54,共4页
Guiding Journal of Traditional Chinese Medicine and Pharmacy
基金
国家中医药管理局中医药标准化项目(SATCM-2015-BZ(071))
关键词
疳证
指南
调查问卷
德尔菲法
infantile malnutrition
diagnosis and treatment guidelines
questionnaire survey
Delphi method
