摘要
目的研究儿童多动症的中医辨证分型,为儿童多动症中医诊疗指南修订奠定基础。方法以文献研究为基础,设计《儿童多动症中医诊疗指南专家问卷调查表》,运用德尔菲（Delphi）法进行问卷调查,共进行2轮,对2轮结果进行统计分析。结果 2轮专家问卷的回收率分别为91.7%、100%。第一轮专家调查问卷统计结果显示,心肝火旺证、痰火内扰证、肝肾阴虚证、心脾两虚证、肾虚肝亢证、脾虚肝亢证6个证型变异系数（CV）值介于0.127-0.610之间,集中程度高,意见分歧较小;心肾不足证、肝郁脾虚证CV值分别为0.909、0.859,专家意见集中程度低,意见分歧大,可以直接删除。第二轮专家问卷中的肝肾阴虚证或肾虚肝亢证、脾虚肝旺证或脾虚肝亢证的CV值介于0.82-1.34之间,也没有达成统一意见。在专家论证会议讨论后确定了儿童多动症中医辨证分型。结论儿童多动症中医辨证分型为心肝火旺证、痰火内扰证、心脾两虚证、肝肾阴虚证、脾虚肝亢证。
Objective To study the Traditional Chinese Medicine（TCM） syndrome differentiation of attention deficit hyperactivity disorder（ADHD） in children,to lay the foundation for the amendment of the ADHD traditional Chinese medicine clinical practice guideline. Methods Based on the document research,a self-designed expert questionnaire was employed to survey the TCM syndrome differentiation of ADHD in children by Delphi method,conducted two-round,and the two-round results were analyzed. Results Two-round expert questionnaire returns-ratio was 91. 7% and 100%,respectively. The first round questionnaire showed that the CV values of the hyperactivity of heart-fire and liver-fire type,the internal disturbance of pyrophlegm type,the deficiency of liver-yin and kidney-yin type,the heart-spleen deficiency type,the renal deficiency and liver accentuation type and the spleen deficiency and liver accentuation type were between 0. 127 and 0. 610,with a high degree of concentration and fewer disagreement. The CV values of the heart-kidney deficiency type and the liver depression and spleen deficiency type was 0. 909 and 0. 859 respectively,with lower degree of concentration and more different opinions,which could be removed. The second round questionnaire showed that the CV values of the deficiency of liver-yin and kidney-yin type,the renal deficiency and liver accentuation type,the spleen deficiency and liver-yang hyperactivity and the spleen deficiency and liver accentuation type were between 0. 82 and 1. 34,which was no commonly agreed.After the expert demonstration meeting,the TCM syndrome differentiation of ADHD was determined. Conclusion The TCM syndrome differentiation of children ADHD was the hyperactivity of heart-fire and liver-fire type,the internal disturbance of pyrophlegm type,the heart-spleen deficiency type,the deficiency of liver-yin and kidney-yin type and the spleen deficiency and liver accentuation type.
出处
《河北中医》
2016年第10期1451-1454,共4页
Hebei Journal of Traditional Chinese Medicine
基金
国家中医药管理局中医药标准化项目[编号:SATCM-2015-BZ〔060〕]
关键词
注意力缺陷障碍伴多动
辨证规范化
Attention deficit disorder with hyperactivity
Syndrome differentiation sandardization
