儿童肺炎诊疗现状专家问卷调查分析  

Investigation on Experts' Questionnaires of Present Status of Diagnosis and Treatment of Pediatric Pneumonia

作　　者：王雪峰[1] 刘建平[2] 申昆玲[3] 马融[4] 崔振泽[5] 邓力[6] 李燕宁[7] 李新民[4] 孙轶秋[8] 姜之炎[9] 许华[10] 黄燕[5] 刘兆兰[2] 胡英惠[3] 尚云晓[11] 赵德育[12] 王立波[13] 万莉雅[14] 何春卉[6] 姜永红[9] 刘华[10] 张晗[11] 吴振起[1] 孔凡颖[1] 

机构地区：[1]辽宁中医药大学附属医院,辽宁沈阳110032 [2]北京中医药大学循证医学中心,北京100029 [3]首都医科大学附属北京儿童医院,北京100049 [4]天津中医药大学第一附属医院,天津300192 [5]大连医科大学附属儿童医院,辽宁大连116012 [6]广州市儿童医院,广东广州510180 [7]山东中医药大学附属医院,山东济南250011 [8]江苏省中医院,江苏南京210029 [9]上海中医药大学附属龙华医院,上海200032 [10]广州中医药大学第一附属医院,广东广州510405 [11]中国医科大学盛京医院,辽宁沈阳110004 [12]南京市儿童医院,江苏南京210029 [13]上海复旦大学附属儿科医院,上海200032 [14]天津市儿童医院,天津300074

出　　处：《辽宁中医药大学学报》2012年第10期5-9,共5页Journal of Liaoning University of Traditional Chinese Medicine

基　　金：国家中医临床研究基地重点病种小儿肺炎临床研究项目

摘　　要：目的:通过对重点病种小儿肺炎的病原、辨证、治疗等方面专家临证经验的调查分析,以了解中西医的诊疗现状,从而获得更为客观的专家诊疗意见。方法:根据文献资料和预试验结果,编制"小儿肺炎随机对照临床试验干预和对照措施及疗效评价指标"专家调查问卷,并在全国范围内发放回收,并对调查结果进行统计分析。结果:在病原学的分析中,西医问卷中肺炎支原体秩均值最小;在辨证方法中,痰热犯肺证秩均值最小;在治疗病毒性肺炎药物分析中,中医问卷中喜炎平秩均值最小;在抗生素分析中,头孢菌素且二代头孢秩均值均较小。结论:西医专家认为肺炎支原体是最常见病原;中医专家认为喜炎平是最常用的病毒性肺炎药物,痰热犯肺证是最常见的证型;中西医专家共同认为头孢菌素且二代头孢是最常用抗生素。Objective ： Through the survey and analysis of the experts clinical experience of pathogen, syndrome differentiation, treatment and prognosis of children pneumonia, to learn clinic status of Chinese and Western medicine and eventually form more objective experts＇ opinion of diagnosis and treatment. Methods ： According to document literature and pilot test results, we worked out the first round of expert questionnaire, which issued and recoveried in the national scope, and then carried through statistic analysis of the results of the survey. Results ： About pathogens index, the rank mean of mycoplasma was the smallest in the Western medicine questionnaire; about symptomatic type, the rank mean of pulmonary retention of phlegm opyrexia syndrame was the smallest ; ahoul medicine index, the rank mean of Xiyanping was the smallest in the Chinese medicine questionnaire, the rank mean of eephalosporin antibiotics and the second generation were the smallest. Conclusion ： Western medicine experts think myeoplasma is the most common ; Chinese medicine experts consider that the most commonly used intravenous drugs of viral pneumonia treatment is Xiyanping, pulmonary retention of phlegm opyrexia syndrome is the most common ; Chinese and Western medicine experts recognize eephalosporin antibiotics and the second generation are most commonly used.

关 键 词：儿童肺炎 诊疗现状 专家问卷调查 

分 类 号：R563.1[医药卫生—呼吸系统]