基于德尔菲法构建海派中医导引治疗骨质疏松症的特色诊疗方案  

Constructing A Distinctive Diagnosis and Treatment Plan for Osteoporosis Guided by Shanghai Style Traditional Chinese Medicine Based on the Delphi Method

作　　者：王强 薛彬[1] 颜威 詹纬祎 张进霖 胡劲松[1] 李飞跃[1] 孙波 奚小冰[1] WANG Qiang;XUE Bin;YAN Wei;ZHAN Weiyi;ZHANG Jinlin;HU Jinsong;LI Feiyue;SUN Bo;XI Xiaobing(Ruijin Hospital Affiliated to School of Medicine,Shanghai Jiaotong University,Shanghai 200025,China;Xiangshan Hospital of Traditional Chinese Medicine,Shanghai 200020,China)

机构地区：[1]上海交通大学医学院附属瑞金医院,上海200025 [2]上海市黄浦区香山中医医院,上海200025

出　　处：《中医药导报》2024年第6期89-94,共6页Guiding Journal of Traditional Chinese Medicine and Pharmacy

基　　金：上海市卫健委进一步加快中医药传承创新发展三年行动计划(2021-2023)项目[ZY(2021-2023)-0209-03];上海市卫生健康委员会中医药科研专项(2022QN026);上海市2023年度“科技创新行动计划”自然基金面上项目(23ZR1440400);上海市中医药学会“凯宝”青年医师海派中医传承研究项目(2023-HPZY-03)。

摘　　要：目的:探讨海派中医对导引治疗骨质疏松症的特色诊疗意见,构建并形成海派中医导引治疗骨质疏松症的特色诊疗方案,为后期研究提供前期基础。方法:通过采用查阅文献,结合专家临床经验、专家讨论的方式及课题组前期研究成果,归纳并构建海派中医导引治疗骨质疏松症的特色诊疗方案的条目池,运用德尔菲法确立海派中医导引治疗骨质疏松症的特色诊疗方案。结果:第1轮问卷调查共遴选出22名专家,发放问卷22份,收回有效问卷22份,有效问卷回收率100%;专家权威系数为0.884;根据专家认同度平均值和变异系数结合专家意见,剔除条目4、条目5、条目7,调整条目3,形成第2轮调查问卷。第2轮问卷调查共遴选出22名专家,发放问卷22份,收回有效问卷22份,有效问卷回收率100%;专家权威系数为0.906;第2轮问卷调查所有条目的变异系数均<0.5,调查结束并确立海派中医导引治疗骨质疏松症的特色诊疗方案。结论:本研究基于德尔菲法构建海派中医导引治疗骨质疏松症的特色治疗方案,为今后骨质疏松症患者导引治疗提供了依据和参考。Objective:To explore the expert's characteristic diagnosis and treatment opinions on Shanghai School of TCM Daoyin treatment of osteoporosis,and construct and form the characteristic diagnosis and treatment plan of Shanghai School of TCM Daoyin treatment of osteoporosis,then to provide a preliminary basis for the later research.Methods:Through literature review,combined with expert clinical experience,expert discussion and previous research results of the research group,the article pool of the characteristic diagnosis and treatment plan of Shanghai School of TCM Daoyin treatment of osteoporosis was summarized and constructed,and the characteristic diagnosis and treatment plan of Shanghai School of TCM Daoyin treatment of osteoporosis was established by Delphi method.Results:A total of 22 experts were selected in the first round of questionnaire survey.22 questionnaires were distributed and 22 valid questionnaires were collected,resulting in 100%valid questionnaire return.The expert authority coefficient was 0.884.According to the average of expert agreement and coefficient of variation combined with expert opinions,article 4,article 5 and article 7 were eliminated,and item 3 was adjusted to form the second round of questionnaire.A total of 22 experts were selected in the second round of questionnaire survey.22 questionnaires were distributed and 22 valid questionnaires were collected,resulting in 100%valid questionnaire return.The expert authority system was 0.906.The coefficient of variation of all items in the second round of questionnaire survey was lower than 0.5.The investigation was concluded and the characteristic diagnosis and treatment plan of Shanghai School of TCM Daoyin treatment of osteoporosis was established.Conclusion:Based on Delphi method,this study constructs the characteristic treatment plan of Shanghai School of TCM Daoyin treatment of osteoporosis,which provides the basis and reference for Daoyin treatment of osteoporosis patients in the future.

关 键 词：骨质疏松症 导引 海派中医 诊疗方案 德尔菲法 

分 类 号：R247.4[医药卫生—中医临床基础]