世界中医药
世界中醫藥
세계중의약
WORLD CHINESE MEDICINE
2014年
9期
1238-1240
,共3页
窦道%中医诊疗指南%德尔菲法
竇道%中醫診療指南%德爾菲法
두도%중의진료지남%덕이비법
Sinus%TCMdiagnosis and treatment guidelines%Delphi method
目的：制订窦道中医诊疗指南。方法：在文献调研的基础上，编制《窦道中医诊疗指南》专家调查问卷，采用德尔菲（Del-phi）法，对35名专家进行两轮问卷调查，并对问卷结果进行统计分析。结果：两轮问卷专家积极系数（回收率）分别为94.59％、100％；窦道证型指标中，余毒未清证、气血两虚证的均数、满分比高，变异系数小；辅助检查的指标中疮面窦道探查、B超检查、窦道 CT 造影＋三维重建的均数、满分比高，变异系数小；外治法的指标中药线引流法、滴灌法、窦道切除缝合术、纱条引流法四种外治法的专家集中程度和协调程度较高。结论：运用德尔菲法评价和筛选窦道中医诊疗指南的指标框架，使专家对于窦道的诊治意见逐渐达成共识，为建立临床实用、科学的窦道中医诊疗指南奠定基础。
目的：製訂竇道中醫診療指南。方法：在文獻調研的基礎上，編製《竇道中醫診療指南》專傢調查問捲，採用德爾菲（Del-phi）法，對35名專傢進行兩輪問捲調查，併對問捲結果進行統計分析。結果：兩輪問捲專傢積極繫數（迴收率）分彆為94.59％、100％；竇道證型指標中，餘毒未清證、氣血兩虛證的均數、滿分比高，變異繫數小；輔助檢查的指標中瘡麵竇道探查、B超檢查、竇道 CT 造影＋三維重建的均數、滿分比高，變異繫數小；外治法的指標中藥線引流法、滴灌法、竇道切除縫閤術、紗條引流法四種外治法的專傢集中程度和協調程度較高。結論：運用德爾菲法評價和篩選竇道中醫診療指南的指標框架，使專傢對于竇道的診治意見逐漸達成共識，為建立臨床實用、科學的竇道中醫診療指南奠定基礎。
목적：제정두도중의진료지남。방법：재문헌조연적기출상，편제《두도중의진료지남》전가조사문권，채용덕이비（Del-phi）법，대35명전가진행량륜문권조사，병대문권결과진행통계분석。결과：량륜문권전가적겁계수（회수솔）분별위94.59％、100％；두도증형지표중，여독미청증、기혈량허증적균수、만분비고，변이계수소；보조검사적지표중창면두도탐사、B초검사、두도 CT 조영＋삼유중건적균수、만분비고，변이계수소；외치법적지표중약선인류법、적관법、두도절제봉합술、사조인류법사충외치법적전가집중정도화협조정도교고。결론：운용덕이비법평개화사선두도중의진료지남적지표광가，사전가대우두도적진치의견축점체성공식，위건립림상실용、과학적두도중의진료지남전정기출。
Objective:To establish the guidelines for TCMdiagnosis and treatment of sinus.Methods:Based on the literature investi-gation,the expert questionnaire of sinus guideline for TCMdiagnosis and treatment was drew up by Delphi method,and two rounds of questionnaire survey to 35 experts were conducted,and the results were analyzed statistically.Results:The positive coefficient of the two rounds of questionnaire of experts (recovery)were 94.59% and 100% respectively.Among the sinus syndrome indicators,the mean and full mark ratio of Qi and blood deficiency were high,and the coefficient of variation was small;as for the auxiliary examination index,the mean and full mark ratio of sinus exploration,B ultrasound examination,sinus CT angiography and 3D reconstruction were high,and the coefficient of variation was small;in the External treatment index,the expert concentration degree and coordination degree of the medicine line drainage,irrigation method,fistula resection and suture operation were high.Conclusion:Using index framework of Delphi for evaluation and screening of sinus TCM diagnosis and treatment guidelines has gradually reach a consensus among experts, which lays a foundation for establishing clinically practical and scientific sinus guidelines for TCMdiagnosis and treatment.
