基于德尔菲法和层次分析法的中医食养药膳评价指标体系的初步构建  

Preliminary Construction of Evaluation Index System for Traditional Chinese Medicine Medicated Diet based on Delphi Method and Analytic Hierarchy Process

作　　者：李纪新 邱林杰 任燕 李美洁 栗文婕 杜新雷 王文茹 杨凯[3] 张晋[1] LI Jixin;QIU Linjie;REN Yan;LI Meijie;LI Wenjie;DU Xinlei;WANG Wenru;YANG Kai;ZHANG Jin(Xiyuan Hospital,China Academy of Chinese Medical Sciences,Beijing,100091;Shanxi University of Chinese Medicine;Shandong University of Traditional Chinese Medicine)

机构地区：[1]中国中医科学院西苑医院,北京市海淀区100091 [2]山西中医药大学 [3]山东中医药大学

出　　处：《中医杂志》2023年第23期2412-2418,共7页Journal of Traditional Chinese Medicine

基　　金：中国中医科学院科技创新工程(C12021A03005);中国药膳研究会团体标准项目[ZGYSYJHL-2023(001)]。

摘　　要：目的 构建中医食养药膳评价指标体系,推动中医药膳科学、规范发展。方法 通过文献系统回顾、德尔菲专家咨询法构建中医食养药膳评价指标体系框架,运用层次分析法构建层次结构模型,Saaty1-9标度法进行指标间两两比较,Yaahp 10.3计算各指标权重。结果 两轮专家咨询回收率分别为93.33%和100%;第二轮第一、二级指标肯德尔协调系数(Kendall’s W)分别为0.270和0.281 (均P<0.001);最终构建出包括6项一级指标,27项二级指标的中医食养药膳评价指标体系。一级指标及其权重为:感官形态(0.1843)、养生价值(0.3569)、成分配伍(0.1271)、包装(0.0370)、生产制作(0.1005)、可靠性(0.1940)。结论构建了一套普适性、综合性的中医食养药膳评价指标体系,同时兼顾色、味、形、效、制和质等多方面,可为食养药膳的价值测评及中医食养药膳的发展提供参考。Objective To build an evaluation index system for traditional Chinese medicine(TCM)medicated diet,promoting the scientific and standardized development of medicated diet in TCM.Methods The framework of the evaluation index system was constructed through literature review and Delphi expert consultation method.The analytic hierarchy process was used to construct a hierarchical structure model.Pairwise comparisons between the indicators were conducted using the Saaty 1-9 scale method,and the weight of each indicator was calculated using Yaahp 10.3.Results The response rates for the two rounds of expert consultation were 93.33%and 100%,respectively.The Kendall's W coefficients for the first-level and second-level indicators in the second round were 0.270 and 0.281,respectively(both P<0.001).Finally,an evaluation index system for TCM medicated diet therapy was constructed,consisting of 6 primary indicators and 27 secondary indicators.The weightings of the primary indicators were as follows:sensory appearance(0.1843),health value(0.3569),ingredient compatibility(0.1271),packaging(0.0370),production and preparation(0.1005),and reliability(0.1940).Conclusion A comprehensive and universally applicable evaluation index system for TCM medicated diet has been developed,taking into considerations of color,taste,appearance,efficacy,preparation,quality and others.This system can provide valuable reference for the evaluation of the value of medicated diet as well as its development.

关 键 词：药膳 食疗 评价指标体系 德尔菲法 层次分析法 药食同源 

分 类 号：R247.1[医药卫生—中医临床基础]