《小儿维生素D缺乏性佝偻病中医诊疗指南》中医证型的德尔菲法评价及分析  

Guidelines to Diagnosis and Treatment for Children's Vitamin D Deficiency Rickets the Delphi Evaluation of Its Syndrome Type and the Analysis of the First and Second Round Results

作　　者：丁樱[1] 刘莎莎[2] 任献青[1] 

机构地区：[1]河南中医学院第一附属医院,河南郑州450000 [2]河南中医学院,河南郑州450000

出　　处：《中医学报》2011年第5期575-576,共2页Acta Chinese Medicine

基　　金：国家中医药管理局中医药标准化项目(编号:ZYYS-2009-0004-34)

摘　　要：目的:评价和筛选中医儿科专家对《小儿维生素D缺乏性佝偻病中医诊疗指南》中医证型标准的集中程度与协调程度,制定科学实用的《小儿维生素D缺乏性佝偻病中医诊疗指南》的中医证型标准。方法:采用德尔菲(Delphi)法,根据文献研究的结果制订《小儿维生素D缺乏性佝偻病中医诊疗指南专家问卷调查表》及专家回馈意见先后制订三轮问卷,向全国40余位家发送问卷调查,对问卷进行统计分析。结果:两次问卷调查分别回收有效问卷为35份与36份,专家积极系数分别为77.8%和92.3%,制定出《小儿维生素D缺乏性佝偻病中医诊疗指南》的证型,专家对其中指标意见的集中程度与协调程度较高。结论:专家的积极水平及专业水平均较高,分布地区广,具有代表性,故肺脾气虚证、脾虚肝旺证、肾精亏损证3证定为该病的证型基本得到专家的认可,但存在有不同的意见,有待于进一步优化。Objective ：To evaluate and screen the concentration and coordination degree of the experts in TCM pediatrics on the syndrome type of The Guidelines to Diagnosis and Treatment for Children＇ s Vitamin D Deficiency Rickets for optimization of this book. Methods ： Delphi method was applied to this research. All questionnaires were designed based on the research of literature and the opinions of experts＇ feedback, distributed more than 40 experts. The reasuhs in the first two times of survey were analyzed. Results ：Totally 35 and 36 valid questionnaires were received in the first and second time respectively. The experts＇ activity index was 77.8% and 92. 3 % respectively. The pattern type of Guidelines to Diagnosis and Treatment for Children＇ s Vitamin D Deficiency Rickets was set down. The concentration and coordination degree of the opinions of the experts on theses guidelines was obviously high. Conclusion ： The ex- perts＇ activity and professional level is high. The experts are from all over China and express the typical opinions of allexperts in this field. So spleen-lung qi deficiency,liver exuberance and spleen deficiency, kidney essence insufficiency are generally recognized. But different oninions are also exist, need further ootimizes.

关 键 词：小儿维生素D缺乏性佝偻病 中医证型 诊疗指南 德尔菲法 

分 类 号：R259.914.4[医药卫生—中西医结合]