《中医儿科病证诊断疗效标准·哮喘(修订)》框架意见专家调查问卷结果分析
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摘要
[目的]筛选和评价中医儿科专家对《中医儿科病证诊断疗效标准·哮喘(修订)》框架意见的集中程度与协调程度,为该标准的修订奠定基础。[方法]在文献检索及文献总结的基础上,采用德尔菲法(Delphi)制定并完成2轮专家调查问卷。采用均数、等级和、不重要百分比评价专家意见集中程度,采用变异系数评价专家意见协调程度。[结果]经过2轮问卷调查,专家对哮喘的诊断、迁延期及缓解期证型、临床痊愈及临床控制、证候疗效评价及主症量表评分法等指标意见集中程度较高,协调度好;对于发作期具体证型名称的选定意见一致性较差;疾病疗效评价中临床缓解的评价时间及评价效果的选择存在一定的争议。[结论]本次调查问卷专家积极系数较高,地域分布广,有良好的代表性,《中医儿科病证诊断疗效标准·哮喘(修订)》框架及相关条目基本得到专家认可,发作期具体证型及疗效评价中临床缓解涉及条目有待进一步商榷。
[Objective]To screen and evaluate the centralization and coordination degree of Chinese pediatric experts' opinions on the draft framework of"Criteria of Diagnosis and Therapeutic Effect of Diseases and Syndromes of Childhood Asthma in Traditional Chinese Medicine(Revision)", so as to lay a foundation for the revision of this standard.[Methods]On the basis of literature retrieval and literature summary, two rounds of expert questionnaires were formulated and completed by Delphi method. Means, ranks and unimportant percentages were used to evaluate the concentration degree of experts' opinions, and coefficient of variation was used to evaluate the coordination degree of expert opinions. [Results] After two rounds of questionnaires, the experts' opinions on most of the indicators were highly centralized and had good coordination; while the consistency of opinions on the choice of specific syndromes during the onset period was poor and there were some disputes about the evaluation time and effect of clinical remission in the evaluation of disease efficacy. [Conclusion]Experts' positive coefficients were higher, their geographical distribution was wider, and they had good representativeness.The revised framework of the standard had been basically recognized by experts, and the items related to clinical remission in the specific syndromes and evaluation of therapeutic effects in attack period need further discussion.
[Objective]To screen and evaluate the centralization and coordination degree of Chinese pediatric experts' opinions on the draft framework of"Criteria of Diagnosis and Therapeutic Effect of Diseases and Syndromes of Childhood Asthma in Traditional Chinese Medicine(Revision)", so as to lay a foundation for the revision of this standard.[Methods]On the basis of literature retrieval and literature summary, two rounds of expert questionnaires were formulated and completed by Delphi method. Means, ranks and unimportant percentages were used to evaluate the concentration degree of experts' opinions, and coefficient of variation was used to evaluate the coordination degree of expert opinions. [Results] After two rounds of questionnaires, the experts' opinions on most of the indicators were highly centralized and had good coordination; while the consistency of opinions on the choice of specific syndromes during the onset period was poor and there were some disputes about the evaluation time and effect of clinical remission in the evaluation of disease efficacy. [Conclusion]Experts' positive coefficients were higher, their geographical distribution was wider, and they had good representativeness.The revised framework of the standard had been basically recognized by experts, and the items related to clinical remission in the specific syndromes and evaluation of therapeutic effects in attack period need further discussion.
引文
[1]中华中医药学会.中医儿科常见病诊疗指南[M].北京:中国中医药出版社,2012:22-25.
[2]刘传合,陈育智.儿童哮喘流行病学及防治现状分析[J].中国实用儿科杂志,2013,28(11):809-811.
[3]全国儿科哮喘协作组,中国疾病预防控制中心环境与健康相关产品安全所.第三次中国城市儿童哮喘流行病学调查[J].中华儿科杂志,2013,51(10):729-735.
[4]汪受传,虞坚尔.中医儿科学[M].9版.北京:中国中医药出版社,2012:108-110.
[5]马融.中医儿科学[M].10版.北京:中国中医药出版社,2016:84.
[6]马长春,王延博.王烈分期辨治小儿哮喘经验[J].上海中医药杂志,2008,42(1):1-2.
[7]李华,王霞芳.王霞芳治疗小儿哮喘的经验[J].中国中西医结合儿科学,2009,1(2):144-146.
[8]蒙春雪,王力宁,姚勇志.王力宁教授治疗儿童哮喘的经验[J].云南中医中药杂志,2012,33(11):3-5.
[9]孙雯,俞建,时毓民.时毓民辨治小儿哮喘经验[J].上海中医药杂志,2008,42(11):19-20.
[10]明溪,薛征,李利清,等.虞坚尔“三阶序治法”辨治小儿哮喘经验[J].中医杂志,2017,58(6):467-469.
[11]蒋建英,章可谓,葛丹枫,等.俞景茂教授治疗小儿哮喘经验[J].中国中医急症,2018,27(1):162-164.
[12]郑筱萸.中药新药临床研究指导原则(试行)[M].北京:中国医药科技出版社,2002:60-66.
[13]游顶云,王振宇,卢敏南.医学科技评价方法及研究进展[J].云南科技管理,2015,28(6):27-30.
[2]刘传合,陈育智.儿童哮喘流行病学及防治现状分析[J].中国实用儿科杂志,2013,28(11):809-811.
[3]全国儿科哮喘协作组,中国疾病预防控制中心环境与健康相关产品安全所.第三次中国城市儿童哮喘流行病学调查[J].中华儿科杂志,2013,51(10):729-735.
[4]汪受传,虞坚尔.中医儿科学[M].9版.北京:中国中医药出版社,2012:108-110.
[5]马融.中医儿科学[M].10版.北京:中国中医药出版社,2016:84.
[6]马长春,王延博.王烈分期辨治小儿哮喘经验[J].上海中医药杂志,2008,42(1):1-2.
[7]李华,王霞芳.王霞芳治疗小儿哮喘的经验[J].中国中西医结合儿科学,2009,1(2):144-146.
[8]蒙春雪,王力宁,姚勇志.王力宁教授治疗儿童哮喘的经验[J].云南中医中药杂志,2012,33(11):3-5.
[9]孙雯,俞建,时毓民.时毓民辨治小儿哮喘经验[J].上海中医药杂志,2008,42(11):19-20.
[10]明溪,薛征,李利清,等.虞坚尔“三阶序治法”辨治小儿哮喘经验[J].中医杂志,2017,58(6):467-469.
[11]蒋建英,章可谓,葛丹枫,等.俞景茂教授治疗小儿哮喘经验[J].中国中医急症,2018,27(1):162-164.
[12]郑筱萸.中药新药临床研究指导原则(试行)[M].北京:中国医药科技出版社,2002:60-66.
[13]游顶云,王振宇,卢敏南.医学科技评价方法及研究进展[J].云南科技管理,2015,28(6):27-30.
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