摘要
目的修订中医儿科性早熟临床诊疗指南。方法采用德尔菲(Delphi)法,在文献计量研究的基础上编制《中医儿科临床诊疗指南·性早熟(修订)》专家问卷调查表,向全国33位专家发送问卷调查,并对问卷结果进行统计分析。结果回收有效问卷31份,专家积极系数为93.9%。性早熟的诊断指标中2010年卫生部制定的性早熟诊疗指南的均数()、等级和(S)大,不重要百分比(R)小,分别为0.97,28,9.7,变异系数(CV)为0.33;证候分类指标中,阴虚火旺证的,S最大,R最小,分别为2.48,77,0,CV为0.31;相应治法指标中滋阴降火的,S最大,R最小,分别为2.10,65,17.65,CV为0.48;证型代表方中知柏地黄丸的,S最大,R最小,分别为2.77,86,0,CV为0.18。结论专家的积极性与专业水平均较高,分布地区广,具有代表性,专家对性早熟各项诊疗指标意见的集中程度和协调程度不一,尚需进行第2轮专家问卷调查,使专家的意见逐渐达成共识,以形成实用的、科学的性早熟中医临床诊疗指南修订草稿。
Objective Revise the diagnosis and treatment guideline of TCM in precocious puberty. Methods According to Delphi method, the first turn of expert questionnaires survey of this guideline was compiled on the basis of literate review. These questionnaires were mailed to 33 nationwide experts, then make a statistical analysis on the results of questionnaires. Results Totally 31 valid questionnaires were received. The index of experts＇ activity was 93.9%. The average, grading, unimportant percentage of ＂the clinical guideline of medicine for precocious puberty that Ministry of Public Health made in 2010＂ were 0.97, 28 and 9.7 respectively, and the variation coefficient was O. 33. In the indexes of syndromes , the average , grading of ＂ the type of fire excess due to yin deficiency ＂ were maximum while the unimportant percentage was minimum,which were respectively 2.48,77and 0, and the variation coefficient was 0.31. The average, grading of ＂nourishing yin to purge pathogenic fire＂ in the indexes of therapeutic methods were maximum while the unimportant percentage was minimum, which were respectively 2.10, 65 and 17.65, and the variation coefficient was 0.48. The common representative recipe of treatment of precocious puberty is Zhibai Dihuang Pill whose average, grading, unimportant percentage were 2.77,86 and 0 respectively, and the variation coefficient was 0.18. Conclusion The experts with high activity and specialization are from all over Chi- na and express the typical opinions of all experts in this field. But experts have different opinions on the degrees of unification and coordination about each diagnosis and treatment index of precocious puberty, it is necessary to make a the second round of questionnaire survey which aims at a consensus reached by experts gradually in order to establish a revised draft of clinical practical and scientific TCM diagnosis and treatment guideline of precocious puberty.
出处
《中医儿科杂志》
2017年第3期77-82,共6页
Journal of Pediatrics of Traditional Chinese Medicine
基金
国家中医药管理局中医药标准化项目[SATCM-2015-BZ(110)]
关键词
性早熟
诊疗指南
德尔菲法
precocious puberty
clinic guide
Delphi method
