《小儿积滞病诊断标准》的制定研究  

Study on Developing Diagnostic Criteria for Accumulation and Stagnation in Children

作　　者：李梅芳[1] 马延宁 蔡秋晗 李瑞本 胡思源[1] LI Meifang;MA Yanning;CAI Qiuhan;LI Ruiben;HU Siyuan(First Teaching Hospital of Tianjin University of Traditional Chinese Medicine,National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion,Tianjin 300381,China;Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China)

机构地区：[1]天津中医药大学第一附属医院,国家中医针灸临床医学研究中心,天津300381 [2]天津中医药大学,天津301617

出　　处：《中华中医药学刊》2024年第5期57-61,共5页Chinese Archives of Traditional Chinese Medicine

基　　金：中华中医药学会团体标准项目(20201110);“十三五”国家科技重大专项———重大新药创制项目(2020ZX09201-008)。

摘　　要：目的制定一个框架清晰、指标明确、可操作性强的《小儿积滞病诊断标准》,为中医儿科临床实践和中医药临床评价提供依据。方法基于文献研究法,结合课题组经验,初步制定确立小儿积滞病诊断标准框架和各层面条目;基于共识法(包括德尔菲法、名义小组法)征求专家意见,最终制定形成《小儿积滞病诊断标准》。结果制定了由“病史、病程、诊断指标、需要排除的疾病、诊断条件”5个层面的小儿积滞病诊断标准。结论本研究采用的研究方法得当,保证了内容的全面性和结果的客观性,《小儿积滞病诊断标准》具有科学性、实用性,可供小儿积滞病的临床科研与医疗工作者参考使用。该诊断标准已通过中华中医药学会的审核发布(编号T/CACM1387-2022)。Objective To develop Diagnostic Criteria for Accumulation and Stagnation in Children with clear framework,indica⁃tors and strong operability so as to provide a basis for clinical practice and evaluation of traditional Chinese medicine in pediat⁃rics.Method Based on the literature research method,combined with the experience of the research group,the framework of diag⁃nostic criteria and various levels of pediatric accumulation and stagnation disease were preliminarily established.And then con⁃sensus method(including Delphi method and nominal group technique)was used to seek the expert opinion.Finally,it devel⁃oped the Diagnostic Criteria for Accumulation and Stagnation in Children.Results The study established the Diagnostic Criteria for Accumulation and Stagnation in Children,which consisted of five levels:history,course of disease,diagnostic indices,diseases to be ruled out,diagnostic condition.Conclusion The research method adopted in this study is appropriate to ensure the compre⁃hensiveness of the content and the objectivity of the results.Diagnostic Criteria for Accumulation and Stagnation in Children is scientific and practical,which can be used as a reference for clinical scientific research and medical workers of pediatric stagna⁃tion disease.This diagnostic criteria has been approved by China Association of Chinese Medicine which is numbered T/CACM1387-2022.

关 键 词：小儿积滞 诊断标准 德尔菲法 名义小组法 

分 类 号：R272[医药卫生—中医儿科学]