摘要
目的:针对充血性心力衰竭常见中医证候的分布及相关症状权重进行专家调查。方法:采用德尔菲法,通过两轮问卷调查以及专家会议论证,分析专家积极系数、权威系数、意见集中程度、意见协调程度,对充血性心力衰竭的常见中医证型及其症状权重进行总结、修正、反馈以及汇总。结果:充血性心力衰竭常见中医证候为:气虚血瘀证、气阴两虚证、心血瘀阻证、痰阻心脉证、阳虚水泛证。各证型的特征性条目分别是,气虚血瘀证、气阴两虚证:气短;心血瘀阻证:口唇紫绀;痰阻心脉证:胸闷;阳虚水泛证:形寒肢冷。结论:应用德尔菲法可以充分总结本领域专家对充血性心力衰竭中医证候及其症状组成的意见,为后期的临床流调与本病中医证候量表的确立打下基础。
Objetctive： To carry out an expert inquiry discuss syndrome distribution of congestive heart failure and related symptoms weight. Methods： By using Delphi method, the syndrome patterns and related symptoms weight of congestive heart failure by two series questionnaire survey and experts meeting argument were summed up. Analysis the indicators include positive coefficient, authority coefficient, concentration and coordination degree of experts’ opinions to summarize, revise, feed back and gather the syndrome and symptom weight of congestive heart failure. Results： The common TCM syndromes are syndrome of qi deficiency and blood stasis, syndrome of deficiency of both qi and yin, syndrome of blockage due to heart blood stasis, syndrome of phlegm blocking heart vessel and syndrome of water overflowing due to yang deficiency. The characteristic symptom of syndrome of qi deficiency and blood stasis and syndrome of deficiency of both qi and yin is short of breath, the characteristic symptom of syndrome of blockage due to heart blood stasis is cyanosis, the characteristic symptom of syndrome of phlegm blocking heart vessel is chest distress, and the characteristic symptom of syndrome of water overflowing due to yang deficiency is cold limbs. Conclusion： The Delphi method can be used well in summarizing experts’ opinions on syndrome patterns and related symptoms weight of congestive heart failure, which may lay a foundation for the later epidemic survey and establishment of TCM syndrome scale.
出处
《中华中医药杂志》
CAS
CSCD
北大核心
2016年第12期5019-5024,共6页
China Journal of Traditional Chinese Medicine and Pharmacy
基金
上海市卫生系统优秀学科带头人培养计划(No.XBR2011070)
上海市博士点建设基金(No.K110412)~~
