摘要
目的:通过对重点病种小儿肺炎的病原、辨证、治疗等方面专家临证经验的调查分析,以了解中西医的诊疗现状,从而获得更为客观的专家诊疗意见。方法:根据文献资料和预试验结果,编制"小儿肺炎随机对照临床试验干预和对照措施及疗效评价指标"专家调查问卷,并在全国范围内发放回收,并对调查结果进行统计分析。结果:在病原学的分析中,西医问卷中肺炎支原体秩均值最小;在辨证方法中,痰热犯肺证秩均值最小;在治疗病毒性肺炎药物分析中,中医问卷中喜炎平秩均值最小;在抗生素分析中,头孢菌素且二代头孢秩均值均较小。结论:西医专家认为肺炎支原体是最常见病原;中医专家认为喜炎平是最常用的病毒性肺炎药物,痰热犯肺证是最常见的证型;中西医专家共同认为头孢菌素且二代头孢是最常用抗生素。
Objective ： Through the survey and analysis of the experts clinical experience of pathogen, syndrome differentiation, treatment and prognosis of children pneumonia, to learn clinic status of Chinese and Western medicine and eventually form more objective experts＇ opinion of diagnosis and treatment. Methods ： According to document literature and pilot test results, we worked out the first round of expert questionnaire, which issued and recoveried in the national scope, and then carried through statistic analysis of the results of the survey. Results ： About pathogens index, the rank mean of mycoplasma was the smallest in the Western medicine questionnaire; about symptomatic type, the rank mean of pulmonary retention of phlegm opyrexia syndrame was the smallest ; ahoul medicine index, the rank mean of Xiyanping was the smallest in the Chinese medicine questionnaire, the rank mean of eephalosporin antibiotics and the second generation were the smallest. Conclusion ： Western medicine experts think myeoplasma is the most common ; Chinese medicine experts consider that the most commonly used intravenous drugs of viral pneumonia treatment is Xiyanping, pulmonary retention of phlegm opyrexia syndrome is the most common ; Chinese and Western medicine experts recognize eephalosporin antibiotics and the second generation are most commonly used.
出处
《辽宁中医药大学学报》
CAS
2012年第10期5-9,共5页
Journal of Liaoning University of Traditional Chinese Medicine
基金
国家中医临床研究基地重点病种小儿肺炎临床研究项目
关键词
儿童肺炎
诊疗现状
专家问卷调查
children pneumonia
present situation of diagnosis and treatment
expert questionnaire
