精神分裂症中医基本证型第二轮专家咨询问卷分析  

Analysis of the second round expert questionnaires about the common syn-dromes of Schizophrenia in TCM

作　　者：宋炜熙[1] 张宏耕[1] 何韬[1] 

机构地区：[1]湖南中医药大学,湖南长沙410208

出　　处：《中国中医药咨讯》2011年第3期65-66,共2页

基　　金：湖南省卫生厅中医药科研基金课题,编号：24101

摘　　要：目的：探讨精神分裂症的中医常见证型。方法：根据第一轮专家咨询问卷结果设计第2轮问卷，向全国61名专家进行问卷征询，用专家咨询法进行统计分析。结果：专家积极系数为89．7％；权威程度为0．776；癫证证型中均数〉2．5，满分比〉50，变异系数〈25％，等级和〉160的证候共三个证型；狂证证型中均数〉2．5；满分比〉50％，变异系数均〈26％，等级和〉150共三个证型。结论：痰气郁结、肝郁气滞、痰湿内阻为精神分裂症（癫证）的常见证型；痰火内扰证、肝胆火盛证、阳明热结证为精神分裂症（狂证）的常见证型。Aim： To explore the common syndromes of Schizophrenia in TCM. Methods： Second round expert questionnaires were designed according to the results of the round one, and 61 experts were consulted around the country. Delphi method was used for statistical analysis. Results： the active coefficient was 9.7%,authoritative grade of experts was 0.776 ; there were 3 items in the syndromes of depressed psychosis whose means were over 2.5, full dark rations over 50%,coefficient of variation less than 〈25%,rand sums of the index of syndromes over 160; there were 3 items in the syndromes of mania psychosis whose means were over 2.5, full dark rations over 50%,coefficient of variation less than 〈26% ,rand sums of the index of syndromes over 150.Conclusion： The syndromes such as stagnation and phlegm retention of the hepatic qi, hepatic-qi stagnation, phlegm stagnation act as the principal syndromes of depressed psychosis; and the syndromes such as pyrophlegmatic mania, hepatopyrexia, yangmin retention of heat act as the principal syndromes of mania psychosis.

关 键 词：精神分裂症 癫证 狂证 问卷 基本证型 

分 类 号：R749.3[医药卫生—神经病学与精神病学]