CAJ | 학술논문

目的：初步建立艾滋病带状疱疹中医诊疗规程，针对其关键问题开展专家问卷调查并修订该规程。方法：经过文献调研和专家论证，建立艾滋病带状疱疹中医诊疗规程草案。采用2轮问卷调查中医或中西医结合艾滋病领域专家对诊断、治疗、调护等关键问题的接受程度及建议，并修订诊疗规程。结果：第1轮完整问卷回收率为96%，专家对概念、临床特征、病因病机、病史体检、诊断标准、肝经湿热辨证标准和辨证用药、皮肤、饮食和心理调护、疗程和疗效标准等条目的认可度较高；成方验药、艾灸推拿、辅助检查、脾虚湿蕴和气滞血瘀的辨证标准及辨证用药、西医治疗等条目变异系数（CV）较大。各条目权重在0.0436～0.0462之间。Cronbach系数α（CCA）=0.996，分半信度R=0.86。第2轮完整问卷回收率为100%，专家对概述、病因病机、病史及一般检查、诊断标准、3个证型的辨证标准和辨证用药、成方验药、皮肤、饮食和心理调护等条目的认可度较高，CV为0；辅助检查和艾灸推拿CV为0.0638，比第1轮小，专家意见的一致性有较大提高；各条目的权重系数在0.0582～0.0590之间；CCA=-0.041，分半信度R=0.79。通过2轮调查得到了该规程的修订版本。结论：2轮问卷调查专家积极性较好，集中程度和协调程度均较高。通过2轮问卷调查，对该规程的诊断、治疗、调护等关键问题基本达成了较好共识。
목적：초보건립애자병대상포진중의진료규정，침대기관건문제개전전가문권조사병수정해규정。방법：경과문헌조연화전가론증，건립애자병대상포진중의진료규정초안。채용2륜문권조사중의혹중서의결합애자병영역전가대진단、치료、조호등관건문제적접수정도급건의，병수정진료규정。결과：제1륜완정문권회수솔위96%，전가대개념、림상특정、병인병궤、병사체검、진단표준、간경습열변증표준화변증용약、피부、음식화심리조호、료정화료효표준등조목적인가도교고；성방험약、애구추나、보조검사、비허습온화기체혈어적변증표준급변증용약、서의치료등조목변이계수（CV）교대。각조목권중재0.0436～0.0462지간。Cronbach계수α（CCA）=0.996，분반신도R=0.86。제2륜완정문권회수솔위100%，전가대개술、병인병궤、병사급일반검사、진단표준、3개증형적변증표준화변증용약、성방험약、피부、음식화심리조호등조목적인가도교고，CV위0；보조검사화애구추나CV위0.0638，비제1륜소，전가의견적일치성유교대제고；각조목적권중계수재0.0582～0.0590지간；CCA=-0.041，분반신도R=0.79。통과2륜조사득도료해규정적수정판본。결론：2륜문권조사전가적겁성교호，집중정도화협조정도균교고。통과2륜문권조사，대해규정적진단、치료、조호등관건문제기본체성료교호공식。
This study was aimed to establish traditional Chinese medicine (TCM) diagnosis and treatment procedure of varicella zoster virus (VZV) in AIDS, and to construct questionnaires for key points and revision of the procedure. The TCM draft of diagnosis and treatment procedure for VZV in AIDS was established through literature retrieval and peer review. Two rounds of surveys were carried out to investigate the confirmation and advice of in-group specialist to key points of TCM or integrative medicine draft including diagnosis, treatment and nursing. Then, diagnosis and treatment procedure were revised according to survey results. The results showed that the recovery of complete ques-tionnaires in the first-round survey was 96%. More confirmation of specialists were given to concept, clinical feature, cause, mechanism, case history and general examination, diagnostic criteria, syndrome differentiation and treatment of dampness-heat of liver channel syndrome, skin, dietary and psychological nursing, treatment course and therapeutic effect standard. The coefficient of variations (CVs) of experiential effective recipe, moxibustion and massage, auxiliary examination, syndrome differentiation and treatment of dampness stagnancy due to spleen deficiency syndrome and qi stagnation and blood stasis syndrome, and western medicine treatment were large. The weight coefficients of all items were within 0.043 6 and 0.046 2. The Cronbach Coefficient Alpha (CCA) was 0.996 and the split-half reliability R was 0.86. Recovery of complete questionnaires in the second-round survey was 100%. More confirmation of special-ists were given to outline, cause, mechanism, case history and general examination, diagnostic criteria, syndrome dif-ferentiation and treatment of three syndromes, experiential effective recipe, skin, dietary and psychological nursing. The CV was 0. The CV of auxiliary examination, moxibustion and massage was 0.063 8, which was less than those of first-round survey. The consistency of specialist was relatively increased. The weight coefficients of all items in the second-round survey were within 0.058 2 and 0.059 0. The CCA was -0.041 and the split-half reliability R was 0.79. A new revised procedure was preliminarily established according to results of two rounds of surveys. It was concluded that the activeness, concentration and coordination of specialists were good in two rounds of surveys. Con-sensus in key points of the procedure draft was reached including diagnosis, treatment and nursing.