儿童急性细菌性扁桃体炎临床指南第一轮专家问卷分析  

Analysis on the First Round Expert Questionnaire of Clinical Guidelines for Children with Acute Bacterial Tonsillitis

作　　者：段晓征[1] 易洪利 刘爽[1] 付彦 曹雪[2] 宋鸽 高嵩 DUAN Xiaozheng;YI Hongli;LIU Shuang;FU Yan;CAO Xue;SONG Ge;GAO Song(Affiliated Hospital of Changchun University of Chinese Medicine,Changchun 130021,China;Graduate School of Changchun University of Chinese Medicine,Changchun 130017,China)

机构地区：[1]长春中医药大学附属医院,吉林长春130021 [2]长春中医药大学研究生院,吉林长春130017

出　　处：《中国中医药信息杂志》2022年第6期110-114,共5页Chinese Journal of Information on Traditional Chinese Medicine

基　　金：国家重点研发计划(2017YFC1703203)。

摘　　要：目的对《中药单用/联合抗生素治疗儿童急性细菌性扁桃体炎临床指南》第一轮专家问卷结果进行分析及总结。方法采用德尔菲法,在文献检索、调研基础上,编制儿童急性细菌性扁桃体炎临床指南第一轮专家问卷,向全国40名儿科专家发送问卷调查,对中医病名、证候分类、分证治法、选方、抗生素使用最佳时机等指标意见进行统计分析。结果共回收问卷35份,回收率87.5%。儿童急性细菌性扁桃体炎的中医病名中“急乳蛾”“喉蛾”“烂乳蛾”3项指标的集中程度和协调程度高;证候分类指标中,“风热外犯证”“肺胃热盛证”“食积化热证”“湿邪疫毒证”4项指标的重要性较高,但后2项专家意见协调程度低,尚需进一步讨论;在抗生素使用最佳时机的各项指标中,“发病第一天”重要性低,专家意见协调程度差,余5项指标重要性及协调性高。结论专家对儿童急性细菌性扁桃体炎的中医病名指标意见的集中程度及协调程度较高,可根据统计结果将重要性高的3项指标列入下轮问卷。风热外犯证及肺胃热盛证重要性高、专家意见相对集中,食积化热证、湿邪疫毒证重要性高、协调程度较低,需第二轮问卷讨论。抗生素使用最佳时机中5项指标重要性高、协调程度高,均列入下轮问卷。Objective To analyze and summarize the results of the first round of expert questionnaire of the Clinical Guidelines for the Treatment of Acute Bacterial Tonsillitis in Children with TCM Alone/combined Antibiotics.Methods Delphi method was used to compile the first round of expert questionnaire for clinical guidelines of acute bacterial tonsillitis in children based on literature search and investigation,and questionnaires were sent to 40 pediatric experts in China.The expert opinions on indexes of TCM disease names,syndrome classification,syndrome differentiation and treatment methods,prescription selection,the best timing of antibiotic application,etc.were under statistical analysis.Results Totally 35 questionnaires were collected,and the recovery rate was 87.5%.Among the TCM disease names of acute bacterial tonsillitis in children,the concentration and coordination degree of the three indicators of acute milk moth,throat moth and rotten milk moth were high;among the indicators of syndrome classification,wind-heat external invasion syndrome,lung-stomach heat exuberance syndrome,food-accumulation heat syndrome and dampness pathogenic virus syndrome were of high importance,but the coordination degree of expert opinions on the last two indicators was low and further discussion was needed;among the indicators of the best timing for antibiotic use,the importance of the first day of onset was low and the coordination degree of expert opinions was poor,while the importance and coordination of the remaining five indicators were high.Conclusion Experts'opinions on TCM names of acute bacterial tonsillitis in children are highly concentrated and coordinated,and the three items with high importance can be directly included in the next round of questionnaire according to the statistical results.In terms of syndrome types,wind-heat external invasion syndrome and lung-stomach heat exuberance syndrome are of high importance and experts'opinions are relatively concentrated,while the syndrome of food-accumulation heat syndrome a

关 键 词：儿童急性细菌性扁桃体炎 临床指南 德尔菲法 问卷调查 

分 类 号：R272.956[医药卫生—中医儿科学]