《功能性腹痛中医临床诊疗专家共识》临床一致性再评价研究  

Clinical Consistency Reevaluation of Expert Consensus on Clinical Diagnosis and Treatment of Functional Abdominal Pain

作　　者：李志田 李龙华[2,3] 江一平 王木兰[1] 华石瑶 胡佳[2,3] 何凌 许嵩[2,3] LI Zhitian;LI Longhua;JIANG Yiping;WANG Mulan;HUA Shiyao;HU Jia;HE Ling;XU Song(Jiangxi University of Traditional Chinese Medicine,Nanchang 330004,China;Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine,Nanchang 330006,China;Jiangxi Traditional Chinese Medicine Digestive Clinical Research Base,Nanchang 330006,China)

机构地区：[1]江西中医药大学,江西南昌330004 [2]江西中医药大学附属医院,江西南昌330006 [3]江西中医消化临床研究基地,江西南昌330006

出　　处：《中医药信息》2021年第12期51-55,共5页Information on Traditional Chinese Medicine

基　　金：国家中医药管理局中医药标准化项目[SATCM-2015-BZ(123)];江西省卫计委科技处项目(20195331);江西省科技厅青年基金项目(20192BAB215054)。

摘　　要：目的:对《功能性腹痛中医临床诊疗专家共识》(简称《共识》)临床一致性进行再评价研究,促进共识的推广应用及诊疗指南的制定。方法:选取有代表性的全国4省8市8家医疗机构作为共识临床一致性再评价对象,采用前瞻性及回顾性病例调查分析方法完成病例信息的采集,一致性测评表填写,诊断、治疗与预防调摄方面的一致性评价。结果:91位功能性腹痛患者中,同《共识》相比,中医疾病诊断、中医疾病诊断依据总体一致率均在95%以上,西医疾病诊断、西医疾病诊断依据、证候诊断、证候诊断依据总体一致率均在50%左右,治则、方药及其他治法,同共识总体一致率分别为48.4%、44.0%、26.4%,预防调摄总体一致率61.6%。结论:该《共识》在功能性腹痛中医疾病诊断中,临床一致性较高,基本符合临床实践。但在西医及证候诊断与治疗方面,因存在个人临床经验水平及各地区各医疗机构具体情况不同,临床一致性偏低。Objective:To explore the clinical consistency reevaluation study of Expert Consensus on Clinical Diagnosis and Treatment of Functional Abdominal Pain,thus to promote the application of the consensus and the formulation of diagnosis and treatment guidelines.Methods:Representative medical institutions in 8 cities from 4 provinces of China were selected as the consensus clinical consistency reevaluation objects.Forward and retrospective case investigation and analysis were used to collect case information,fill in the consistency evaluation form and complete the consistency evaluation in diagnosis,treatment and prevention for wellbeing.Results:In 91 patients with functional abdominal pain,compared to those in the consensus,the total consistency rate was above 95%in terms of TCM disease diagnosis and TCM disease diagnosis basis;the total consistency rate was around 50%in terms of western medicine disease diagnosis,western medicine disease diagnosis basis,syndrome diagnosis and syndrome diagnosis basis;the total consistency rates were 48.4%,44.0%and 26.4%,respectively,in terms of the treatment principle,prescription and other treatments;the overall consistency rate was 61.6%in terms of prevention to keep wellbeing.Conclusion:This consensus has a high clinical consistency in the diagnosis of functional abdominal pain,which is basically in line with clinical practice.However,in terms of western medicine and syndrome diagnosis and treatment,the clinical consistency is low due to the different level of personal clinical experience and different medical institutions in each region.

关 键 词：功能性腹痛 一致性再评价 专家共识 

分 类 号：R259[医药卫生—中西医结合]