基于专家问卷调查的亚健康状态常见证候对应症状和体征在其诊断中的贡献度研究  

Study on weighting coefficients of corresponding symptoms and signs of common syndromes in the diagnosis of sub-health status based on Delphi method

作　　者：徐雯洁[1] 刘卫红[2] 肖爽[1] 张会娜[2] 李萍[2] 

机构地区：[1]首都医科大学附属北京中医医院,北京100010 [2]首都医科大学附属北京中医医院北京市中医研究所,北京100010

出　　处：《中华中医药杂志》2015年第6期2187-2190,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：北京市中医管理局局基金课题(No.JJ2010-24)~~

摘　　要：目的:运用专家问卷的方法确定亚健康状态常见证候对应症状和体征在其诊断中的贡献度大小。方法:根据《亚健康中医临床指南》中规范的亚健康状态的8种常见中医证候类型,设计专家咨询问卷,在首都医科大学附属北京中医医院副高职称及以上的31位中医临床专家中进行专家问卷的调查,在分析专家对亚健康状态常见症状和体征对相应证候贡献度分值的均数、变异系数的基础上,确定亚健康状态症状和体征对常见证候的贡献度大小。结果:本次调查发放问卷31份,回收31份,回收率(积极系数)为100%。按照均数≥5.0且变异系数≤0.45为原则选择对常见证候具有辨证意义的症状和体征,得出肝气郁结证、肝郁脾虚证、心脾两虚证、肝肾阴虚证、肺脾气虚证、脾虚湿阻证、肝郁化火证、痰热内扰证各自对应症状和体征对其诊断贡献度大小的顺序。结论:专家问卷法能较好的收集专家的共识意见。本次研究确定的亚健康状态常见证候对应症状和体征在其诊断中的贡献度大小,为进一步建立亚健康状态常见证候的辨证标准提供了依据。Objective： To study the weighting coefficients of corresponding symptoms and signs of common syndromes in the diagnosis of sub-health status based on experts＇ investigation. Methods： A questionnaire is designed including eight normal traditional Chinese medicine （TCM） syndromes on sub-health status according to Clinical Guidelines of Chinese Medicine on Subhealth. 31 TCM clinical experts of Beijing Hospital of TCM, Capital Medical University take part in the survey. The weighting coefficients of the symptoms and signs in the diagnosis of corresponding TCM syndromes on sub-health status are defined based on the suggestion of the experts （mean and variation coefficient of the scores given by the experts）. Results： 31 questionnaires are sent to the experts and 31 questionnaires are retrieved. The activity coefficient is 100%. 8 groups of weighting coefficients of the symptoms and signs are defined according to the principle of mean of the score is no less than 5.0 and the variation coefficient is no more than 0.45. The weighting coefficients of corresponding symptoms and signs of common syndromes in the diagnosis of sub-health status from high to low in order are syndrome of stagnation of liver qi, syndrome of stagnation of liver qi and spleen deficiency, syndrome of deficiency of both heart and spleen, syndrome of yin deficiency of liver and kidney, syndrome of qi deficiency of spleen and lung, syndrome of dampness stagnancy due to spleen deficiency, Syndrome of liver stagnation transforming into fire and syndrome of phlegm-heat attacking internally. Conclusion： Delphi method is a good way to collect consensus opinions of experts. The weighting coefficients of the symptoms and signs in the diagnosis of corresponding TCM syndromes on sub-health status are defined preliminarily, and this will provide data support for establishment of TCM syndromes diagnosis standard of sub-health status.

关 键 词：专家问卷法 亚健康状态 证候 症状 体征 

分 类 号：R229[医药卫生—中医基础理论]