《中医儿科临床诊疗指南·小儿口疮(修订)》的临床一致性评价  

Clinical Consistency Evaluation of Guidelines for Clinical Diagnosis and Treatment of Pediatrics in Traditional Chinese Medicine: Infantile Aphtha (Revised)

作　　者：刘秀秀[1] 张婧延[1] 陈未 姜之炎[1] LIU Xiuxiu;ZHANG Jingyan;CHEN Wei;JIANG Zhiyan(Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai,200032)

机构地区：[1]上海中医药大学附属龙华医院,200032

出　　处：《中医杂志》2020年第9期781-784,共4页Journal of Traditional Chinese Medicine

基　　金：国家中医药管理局中医药标准化项目[SATCM-2015-BZ(051)]。

摘　　要：目的评价《中医儿科临床诊疗指南·小儿口疮(修订)》的临床一致性,为指南修订提供参考。方法按照国家中医药管理局中医诊疗指南临床应用评价实施方案要求,由全国13家三级甲等医院采用前瞻性和回顾性病例调查分析方法,完成小儿口疮病例信息采集,填写中医诊疗指南一致性测试表(病例调查表),评价临床病例在诊断、辨证分型、治则、汤药、中成药、其他疗法、预防调摄方面与指南的一致性。结果所收集的254例有效病例临床资料与指南比较,在中医诊断(总体一致率100%)、中医诊断依据(99.22%)、西医诊断(99.61%)、西医诊断依据(99.61%)、中医辨证分型(98.03%)、证候诊断依据(98.42%)、治则(98.01%)、预防调摄(98.02%)方面一致性较高,方药组成及用法(85.92%)、中成药(87.28%)用法一致性略低,其他疗法(62.5%)的一致性较低。结论该指南临床一致性较好,符合临床实践。Objective To evaluate the clinical consistency of Guidelines for Clinical Diagnosis and Treatment of Pediatrics in Traditional Chinese Medicine: Infantile Aphtha(Revised), and to provide reference for the revision. Methods According to the requirements of the implementation plan of clinical application evaluation of traditional Chinese medicine(TCM) diagnosis and treatment guidelines issued by National Administration of Traditional Chinese Medicine, a total of 13 first class hospitals across the country adopted prospective and retrospective case investigation and analysis methods to complete the case information collection of infantile aphthous, filling in the consistency test form of TCM diagnosis and treatment(case questionnaire), mainly to evaluate the clinical consistency of clinical cases with the guidelines in diagnosis, syndrome differentiation, treatment, decoction, Chinese patent medicine, other therapies, and prevention and adjustment etc. Results Compared the collected clinical data of 254 effective cases with the guidelines, the diagnosis of TCM(overall agreement rate 100%), diagnosis basis of TCM(99.22%), diagnosis of western medicine(99.61%), diagnosis basis of western medicine(99.61%), syndrome differentiation(98.03%), syndrome diagnosis basis(98.42%), treatment rules(98.01%), preventive adjustment(98.02%) have high consistency. The consistency is slightly lower in prescription composition and usage(85.92%), Chinese patent medicine(87.28%) and other therapies(62.5%). Conclusion The consistency of guideline is comparatively good and is in accordance with clinical practice.

关 键 词：小儿口疮 中医诊疗指南 临床一致性评价 

分 类 号：R276.8[医药卫生—中医五官科学]