中国医药导报
中國醫藥導報
중국의약도보
China Medical Herald
2015年
27期
52-54,70
,共4页
慢性肾功能衰竭%症状%证候要素%问卷调查
慢性腎功能衰竭%癥狀%證候要素%問捲調查
만성신공능쇠갈%증상%증후요소%문권조사
Chronic renal failure%Syndrome%Syndrome factors%Questionnaire
目的：运用专家咨询问卷调查的方法获取慢性肾功能衰竭的常见症状对证候要素的贡献度。方法在前期研究结果的基础上，制订专家咨询问卷，对全国8个中心12家医院中长期从事肾病临床工作5年以上且具有副高级及以上职称的专家进行调查。在第一轮专家咨询问卷结果的基础上，经过专家进一步论证。在分析专家对慢性肾功能衰竭症状对证候要素重要性程度的均数、百分比及变异系数结果的基础上，获取慢性肾功能衰竭常见症状对证候要素贡献度。结果本次专家咨询问卷调查共发放问卷101份，收回问卷101份，回收率为100%，其中有效问卷101份。按照专家给予的症状对证候要素重要性程度的评价情况，同时满足变异系数≤0.35、均值≥4.50的结果作为慢性肾衰竭常见症状对证候要素的贡献度。其中，病位类证候要素“肾”相关症状贡献度分布情况为：腰膝酸软(10分)、夜尿频多(9分)、腰膝酸痛(8分)、水肿(7分)、腰冷(7分)等。结论通过专家问卷的咨询调查，进一步确定了代表专家共识意见的慢性肾功能衰竭相关症状对证候要素的贡献度，临床专家对疾病方面有了更深层次的认识，同时为后期建立慢性肾功能衰竭基于证候要素的中医证候诊断标准提供了依据。
目的：運用專傢咨詢問捲調查的方法穫取慢性腎功能衰竭的常見癥狀對證候要素的貢獻度。方法在前期研究結果的基礎上，製訂專傢咨詢問捲，對全國8箇中心12傢醫院中長期從事腎病臨床工作5年以上且具有副高級及以上職稱的專傢進行調查。在第一輪專傢咨詢問捲結果的基礎上，經過專傢進一步論證。在分析專傢對慢性腎功能衰竭癥狀對證候要素重要性程度的均數、百分比及變異繫數結果的基礎上，穫取慢性腎功能衰竭常見癥狀對證候要素貢獻度。結果本次專傢咨詢問捲調查共髮放問捲101份，收迴問捲101份，迴收率為100%，其中有效問捲101份。按照專傢給予的癥狀對證候要素重要性程度的評價情況，同時滿足變異繫數≤0.35、均值≥4.50的結果作為慢性腎衰竭常見癥狀對證候要素的貢獻度。其中，病位類證候要素“腎”相關癥狀貢獻度分佈情況為：腰膝痠軟(10分)、夜尿頻多(9分)、腰膝痠痛(8分)、水腫(7分)、腰冷(7分)等。結論通過專傢問捲的咨詢調查，進一步確定瞭代錶專傢共識意見的慢性腎功能衰竭相關癥狀對證候要素的貢獻度，臨床專傢對疾病方麵有瞭更深層次的認識，同時為後期建立慢性腎功能衰竭基于證候要素的中醫證候診斷標準提供瞭依據。
목적：운용전가자순문권조사적방법획취만성신공능쇠갈적상견증상대증후요소적공헌도。방법재전기연구결과적기출상，제정전가자순문권，대전국8개중심12가의원중장기종사신병림상공작5년이상차구유부고급급이상직칭적전가진행조사。재제일륜전가자순문권결과적기출상，경과전가진일보론증。재분석전가대만성신공능쇠갈증상대증후요소중요성정도적균수、백분비급변이계수결과적기출상，획취만성신공능쇠갈상견증상대증후요소공헌도。결과본차전가자순문권조사공발방문권101빈，수회문권101빈，회수솔위100%，기중유효문권101빈。안조전가급여적증상대증후요소중요성정도적평개정황，동시만족변이계수≤0.35、균치≥4.50적결과작위만성신쇠갈상견증상대증후요소적공헌도。기중，병위류증후요소“신”상관증상공헌도분포정황위：요슬산연(10분)、야뇨빈다(9분)、요슬산통(8분)、수종(7분)、요랭(7분)등。결론통과전가문권적자순조사，진일보학정료대표전가공식의견적만성신공능쇠갈상관증상대증후요소적공헌도，림상전가대질병방면유료경심층차적인식，동시위후기건립만성신공능쇠갈기우증후요소적중의증후진단표준제공료의거。
Objective To get contribution degree of related symptoms of chronic renal failure to syndromes factor through expert advice questionnaire. Methods On the basis of previous research results, making expert advice ques-tionnaire. Experts with clinical experience of kidney disease for more than five years and having a title of Deputy Se-nior or above among the 8 centers and 12 hospitals throughout the country were investigated. On the basis of the results in first round questionnaire, then further demonstrated by experts. The mean, percentage and variation coefficient made by experts on the disease symptom syndrome contribution to chronic renal failure common symptoms were analyzed to get syndromes contribution to chronic renal failure. Results 101 expert consultation questionnaires were distributed and questionnaires were sent back in same number with recovery percent of 100%, and all of them were valid question-naires. According to the situation of evaluation given by experts of the importance degree of symptoms to syndrome ele-ments, the result both satisfied the variation coefficient of≤0.35, the average of≥4.50 as the contribution of the com-mon symptoms of chronic renal failure to chronic renal failure syndrome elements. Among them, the disease syndrome factor of kidney related syndrome contribution degree distribution situation was as follows: soreness and weakness of waist and knees (10 points), frequent night urinate (9 points), waist and knee pain (8 points), edema (7 points), coldness in waist (7 points), etc. Conclusion Through expert consultation survey questionnaire, it can further determine the con-sensus of expert opinion for contribution of symptoms associated with chronic renal failure to syndromes factors, which means that clinical experts have a deeper understanding of disease awareness. While the results provide the foundation for diagnostic criteria basis for latter establishment of the disease based on syndrome elements of TCM diagnostic criteria.
