精神分裂症中医狂证证候标准第二轮专家咨询问卷分析  

Schizophrenia TCM crazy syndrome standard second expert consultation questionnaire analysis

作　　者：黄诚[1] 宋炜熙[1] 张宏根[1] 

机构地区：[1]湖南中医药大学,湖南长沙410007

出　　处：《湖南中医药大学学报》2011年第6期44-47,共4页Journal of Hunan University of Chinese Medicine

基　　金：湖南省卫生厅中医药科研基金(2004071)

摘　　要：目的探讨精神分裂症(狂证)常见中医证型的证候标准。方法根据第一轮专家咨询问卷结果设计第二轮问卷,向全国专家进行问卷征询,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;在各证型中,符合均数>1.5,满分比>50%,变异系数<40%,等级和>90的证候指标痰火内扰证有14个;气滞血瘀证共9个;阴虚火旺证共11个,痰结血淤证共9个,阳明热结证共9个,气阴两虚证共6个,肝胆火盛证共13个。结论证候指标中具有上述条件者可作为精神分裂症(狂证)上述中医证型的主症。Objective To explore the common criterions of syndromes of Schizophrenia（manic psychosis） 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 89.7%,authoritative grade of experts was 0.776;among the syndromes the items whose come up to means〉l.5,full dark rations 〉50%,coefficient of variation 〈40%,rand sums of the index 〉90,there are 14 in the internal disturbance of pyrophlcgm,there are 9 in the qi-stagnancy and blood stasis.there are 11 in the asthenic yin causing excessive pyrexia,there are 9 in the Stagnant phlegm and blood stasis,there are 9 in the heat stagnant in yangming Meridians,there are 6 in the deficiency of both qi and yin,there are 13 in the hepatochlic hyperpyrexia. Conclusion the symptoms such as whose satisfy the condition above act as the main symptoms of syndromes above in Schizophrenia（manic psychosis）in TCM.

关 键 词：精神分裂症 狂证 问卷 证候标准 

分 类 号：R749.3[医药卫生—神经病学与精神病学]