《不完全性肠梗阻中医临床诊疗专家共识》临床一致性再评价研究  

Re-evaluation of the Clinical Consistency of the Expert Consensus on the Clinical Management of Incomplete Intestinal Obstruction in Chinese Medicine

作　　者：李志田 李龙华[2,3] 江一平 王木兰[4] 华石瑶 胡佳[2,3] 邓长卿 许嵩[2,3] LI Zhi-tian;LI Long-hua;JIANG Yi-ping;WANG Mu-lan;HUA Shi-yao;HU Jia;DENG Chang-qing;XU Song(Graduate School of Jiangxi University of Chinese Medicine,Nanchang 330004,China;Department of Spleen and Gastroenterology,the Affiliated Hospital of Jiangxi University of Chinese Medicine,Nanchang 330006,China;Digestive Clinical Research Base,Jiangxi University of Chinese Medicine,Nanchang 330006,China;Jiangxi University of Chinese Medicine,Nanchang 330004,China)

机构地区：[1]江西中医药大学研究生院,南昌330004 [2]江西中医药大学附属医院,南昌330006 [3]江西中医消化临床研究基地,南昌330006 [4]江西中医药大学,南昌330004

出　　处：《江西中医药大学学报》2022年第3期32-35,共4页Journal of Jiangxi University of Chinese Medicine

基　　金：江西省卫计委科技项目(20195337);国家中医药管理局中医药标准化项目(SATCM-2015-BZ〈121〉);江西省中医药管理局中医药科研计划项目(2020A0005)。

摘　　要：目的:《不完全性肠梗阻中医临床诊疗专家共识》的临床一致性再评价,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6省市9家不同地区及不同等级的医疗单位作为共识临床一致性再评价对象,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:所收集的102例不完全性肠梗阻临床病例,中医疾病诊断、中医疾病诊断依据、西医疾病诊断、西医疾病诊断依据总体一致率均达到90%以上,证候诊断总体一致率为72.5%,证候诊断依据整体一致率为70.6%,治则和方药总体一致率均仅为50%左右,其它治法总体一致率仅有30.4%,预防调摄总体一致率53.9%。结论:该共识在不完全性肠梗阻疾病诊断中,临床一致性较高,基本符合临床实践。但在治疗方面,因存在个人经验及各地区各医疗机构具体情况不同,临床一致性偏低。Objective:Clinical consistency reevaluation of the Expert Consensus on Clinical Diagnosis and Treatment of Incomplete Inteinal Obstruction promotes the promotion and application of consensus and the formulation of diagnosis and treatment guidelines.Methods:Nine representative medical units of different regions and different levels in 6 provinces and cities were selected as the consensus clinical consistency reevaluation objects to complete the collection of case information,filling in the consistency evaluation form,and the consistency evaluation of diagnosis,treatment and prevention adjustment.Results:The 102 clinical cases of incomplete intestinal obstruction,TCM disease diagnosis,TCM disease diagnosis and western medicine disease diagnosis were above 90%,72.5%,70.6%,50%,30.4%and prevention adjustment 53.9%.Conclusion:This consensus has a high clinical consistency in the diagnosis of incomplete intestinal obstruction diseases,and is basically in line with clinical practice.However,in terms of treatment,the clinical consistency is different due to different personal experience and regional medical institutions and specific conditions.

关 键 词：不完全性肠梗阻 一致性再评价 专家共识 

分 类 号：R26[医药卫生—中医外科学]