老年人五脏虚证基本证型主要症状Delphi法专家调查  

Delphi Expert Investigation on Main Symptoms of Basic Syndrome Types of Five Zang-organs Deficiency Syndrome in Elderly

作　　者：陈川[1,2] 申定珠[1,2] 吴蓓玲[1,2] 郁志华[1,2] 赵红彬[1,2] 王晶[1,2] 王拥军[3] CHEN Chuan;SHEN Ding-zhu;WU Bei-ling;YU Zhi-hua;ZHAO Hong-bin;WANG Jing;WANG Yong-jun(Geriatric Institute of Chinese Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 201203;Shanghai Geriatric Institute of Chinese Medicine,Shanghai 200031;Spine Institute,Shanghai University of Traditional Chinese Medicine,Shanghai 200032)

机构地区：[1]上海中医药大学中医老年医学研究所,上海201203 [2]上海市中医老年医学研究所,上海200031 [3]上海中医药大学脊柱病研究所,上海200032

出　　处：《中国中西医结合杂志》2021年第9期1049-1054,共6页Chinese Journal of Integrated Traditional and Western Medicine

基　　金：上海市中医药事业发展三年行动计划(No.2018-2020);中医药重大临床研究项目(No.ZY2018-2020-CCCX-4004);国家重点研发计划项目(No.2018YFC1704300)。

摘　　要：目的通过专家调查,探讨老年人五脏虚证基本证型具有特征性、代表性的主要症状。方法基于文献总结及专家意见调查,制订“老年人五脏虚证证候框架”调查表。运用Delphi法遴选31名专家对老年人五脏虚证基本证型主要症状开展3轮函询调查。专家按照0~10分对量表每个条目的重要程度打分。通过均数及其变异系数评价专家意见集中程度,并通过协调系数对专家意见协调程度进行评价。结果三轮调查的专家积极系数分别为83.9%、96.2%、100.0%,各条目必要性的协调系数分别为0.308、0.469、0.631(P<0.001),平均变异系数分别为0.197、0.162、0.090;第三轮调查的专家权威系数9.35;专家对老年人五脏虚证基本证型主要症状的集中意见分别为心气虚证5项、心阳虚证7项、心血虚证8项、心阴虚证6项、肺气虚证8项、肺阴虚证7项、脾气虚证6项、脾阳虚证7项、肝血虚证4项、肝阴虚证8项、肾阴虚证7项、肾阳虚证9项、肾气虚证5项、肾精虚证9项。结论老年人五脏虚证包含14种基本证型,47种具有特征性、代表性的症状。Objective To discuss the characteristic and representative symptoms of the basic pattern of five Zang-organs deficiency syndrome in the elderly through the expert investigations.Methods Based on literature research and expert opinion surveys,a questionnaire of"Framework of Deficiency Syndrome of Five Zang-organs in the Elderly"was formulated.Thirty one experts were selected to investigate the main symptoms of five Zang-organs deficiency syndrome in the elderly through questionnaires for three times by Delphi method.The experts scored on a scale from 0 to 10 according to the importance of each item.The degree of expert opinion concentration was evaluated by the mean and coefficient of variation,while the coordination degree of expert opinion was evaluated for the whole scale by the coordination factor.Results During the investigations for three times,the positive coefficients of the experts were 83.9%,96.2%and 100.0%,respectively.The coordination coefficients of the necessity of each item were 0.308,0.469 and 0.631(P<0.001),and the mean coefficients of variation were 0.197,0.162 and 0.090,respectively.The authority coefficient of the experts in the third investigation was 9.35.The concentrated opinions from experts on the main symptoms of the basic syndrome of five Zang-organs deficiency syndrome in the elderly were respectively 5 Xin-qi deficiency syndromes,7 Xin-yang deficiency syndromes,8 Xin-blood deficiency syndromes,6 Xin-yin deficiency syndromes,8 Fei-qi deficiency syndromes,7 Fei-yin deficiency syndromes,6 Pi-qi deficiency syndromes,7 Pi-yang deficiency syndromes,4 Gan-blood deficiency syndromes,8 Gan-yin deficiency syndromes,7 Shen-yin deficiency syndromes,9 Shen-yang deficiency syndromes,5 Shen-qi deficiency syndromes and 9 Shen-essence deficiency syndromes.Conclusion The Zang-organs deficiency syndrome of the elderly includes 14 basic syndrome types and 47 characteristic and representative symptoms.

关 键 词：老年人 五脏虚证 症状 德尔菲法 专家调查 

分 类 号：R228[医药卫生—中医基础理论]