综合性中医院发热门诊应对新型冠状病毒感染疫情诊疗流程的探讨  

Discussion on the diagnosis and treatment process of COVID-19 in fever clinics of general hospitals of traditional Chinese medicine

作　　者：侯小双 张宁[2] 尹清波[3] 崔嘉树 罗亚萍[1] HOU Xiao-shuang;ZHANG Ning;YIN Qing-bo;CUI Jia-shu;LUO Ya-ping(Department of Rheumatology and Immunology,Hebei Provincial Hospital of Traditional Chinese Medicine,Shijiazhuang 050011,China;Beijing University of Chinese Medicine,Beijing 100029;Department of Nosocomial Infection Control and Public Health,Hebei Provincial Hospital of Traditional Chinese Medicine,Shijiazhuang 050011)

机构地区：[1]河北省中医院风湿免疫科,石家庄050011 [2]北京中医药大学,北京100029 [3]河北省中医院感染控制与公共卫生处,石家庄050011

出　　处：《北京中医药》2023年第1期27-32,共6页Beijing Journal of Traditional Chinese Medicine

基　　金：河北省科技厅重点研发计划(20275401D)。

摘　　要：目的制定综合性中医院发热门诊应对新型冠状病毒感染疫情中西医诊疗流程,以期为综合性中医院发热门诊在新冠疫情中诊治发热性疾病提供一定的科学参考。方法运用德尔菲调查法,首先通过检索文献、患者问卷调查以及专家小组讨论,基于循证医学的原则,初步制定中西医诊疗流程内容中的条目池,并制定成专家问卷,采用问卷星的方式进行2轮专家咨询,最后将咨询结果进行统计、分析,以筛选出的关键条目作为主要内容制定诊疗流程。结果共收回有效问卷16份,2轮问卷的专家积极系数均为100%,权威系数(Cr)分别为0.74、0.76,专家协调系数(肯德尔和谐系数)分别为0.42、0.20。最终确定的诊疗流程中共包括5方面内容,41个条目。结论经过2轮的调查咨询,专家的积极性较好、权威程度较高、意见可信度以及协调程度均较高,初步制定了综合性中医院发热门诊应对新冠疫情中西医诊疗流程。Objective To formulate the process of diagnosis and treatment to deal with COVID-19 epidemic with traditional Chinese and western medicine in fever clinics of comprehensive TCM hospitals in order to provide some scientific reference for fever clinics in comprehensive traditional Chinese medicine(TCM)hospitals to diagnose and treat febrile diseases in COVID-19 epidemic.Methods Using the Delphi survey method,first of all,based on the principles of evidence-based medicine,the item pool for the diagnosis and treatment process of traditional Chinese medicine and western medicine was initially developed by retrieving literature,patient questionnaire and expert group discussion,and the expert questionnaire was developed.Two rounds of expert consultation were conducted in the form of questionnaire stars.Finally,the consultation results were counted and analyzed in order to screen the key items as the main content of the diagnosis and treatment process.Results A total of 16 valid questionnaires were collected.The positive coefficients of experts in the two rounds of questionnaires were both 100%,the Cr were 0.74 and 0.76,and the Kendall’s concordance coefficient(W)were 0.42 and 0.20,respectively.The final diagnosis and treatment process included 5 aspects and 41 items.Conclusion After two rounds of investigation and consultation,the experts showed good enthusiasm and high authority with credibility of opinions and high degree of coordination.And the procedure of traditional Chinese and western medicine for treating COVID-19 have been preliminarily formulated for fever clinic of general hospitals of traditional Chinese medicine.

关 键 词：新型冠状病毒感染 发热门诊 中西医 德尔菲法 专家问卷 

分 类 号：R197.4[医药卫生—卫生事业管理]