手足口病中医证候专家问卷调查分析  

Investigation on Experts' Questionnaires of TCM Syndromes about Hand-foot-mouth Disease

作　　者：胡燕[1] 王孟清[1] 

机构地区：[1]湖南中医药大学第一附属医院儿科,湖南长沙410007

出　　处：《中国中医药信息杂志》2011年第4期12-14,共3页Chinese Journal of Information on Traditional Chinese Medicine

基　　金：湖南省中医药科研计划重点项目(2008003)

摘　　要：目的从专家经验角度探讨手足口病的中医证候。方法根据文献研究的结果及专家回馈意见先后制订3轮问卷,采用SPSS17.0软件对所得数据进行均数、标准差、满分比、变异系数的统计与评价。结果 5项主要证候指标中4项均数>1.5,变异系数在0～0.31之间;12项次要证候的变异系数在0.33～0.61之间,专家意见的集中程度及协调程度均较高;证型指标中,风热犯肺证、湿热毒蕴证的均数、满分比最高,其变异系数最小;热入营血证、心脾积热证的指标均数>1,变异系数<0.4,表明这4个证型专家意见的集中程度及协调程度均较高。结论手足口病主要证候指标包括发热,手、足、口疱疹,伴有或不伴有臀部疱疹。次要证候包括流涕、口干、口痛流涎、纳差、烦躁、寐不安、唇红而干、咽红、大便干燥及舌象、脉象。常见证型为风热犯肺证、湿热毒蕴证、热入营血证、心脾积热证。Objective To explore the TCM syndrome of hand-foot-mouth disease （HFMD） from the experienced experts＇ point of view. Method The questionnaire on the TCM syndromes of HFMD was made based on the literature consultation and questionnaire survey with Delphi method. The data was analyzed with SPSS17.0 software for the mathematical statistics and evaluation of mean, root-mean-square deviation, ratio of full score, and coefficient of variation. Results The mean of four main symptom indexes surpassed 1.5, coefficient of variation were between 0-0.31. Coefficient of variation for twelve minor symptom indexes were between 0.33 - 0.61. It showed that experts＇ opinions were with highly concentration and coordination. Among all the syndrome indexes, Wind-heat invading lung and damp-heat with exuberance of virulence showed the highest score in full-score ratio and mean value, and coefficient of variation were the lowest. The mean value of heat invasion of blood chamber, brimming heat of heart and spleen were above 1, and coefficient of variation was below 0.4. The experts showed highly concentration and coordination on these four indexes. Conclusion Rashes on hands, feet, mouth, and with fever are main components in the syndrome. The minor indexes include nasal discharge, dry mouth, pain mouth and salivation, anorexia, etc. The commonly seen syndromes are wind-heat invading lung, damp- heat with exuberance of virulence, heat invasion of blood chamber, brimming heat of heart and spleen.

关 键 词：手足口病 中医证候 问卷调查 德尔菲法 

分 类 号：R272.951.25[医药卫生—中医儿科学]