基于文献研究及德尔菲法的寻常型银屑病肝气郁结证诊断标准的建立  

Establishment of diagnostic criteria for liver qi stagnation syndrome in psoriasis vulgaris based on literature review and Delphi method

作　　者：谢秀丽 罗亚 李慧 卢传坚 XIE Xiuli;LUO Ya;LI Hui;LU Chuanjian(Key Laboratory of Standardization of Chinese Medicine,The Second Affiliated Hospital of Guangzhou University ofChinese Medicine(Guangdong Provincial Hospital of Traditional Chinese Medicine),Guangzhou,Guangdong 510120,China;State Key Laboratory of Dampness Syndrome of Chinese Medicine Jointly Established by Province and Ministry,Guangzhou,Guangdong 510120,China;Guangdong Key Laboratory of Traditional Chinese Medicine for Prevention andTreatment of Refractory Chronic Diseases,Guangzhou,Guangdong 510120,China;College of Acupuncture,Moxibustion and Tuina,Chongqing College of Traditional Chinese Medicine,Chongqing 402760,China;National KeyLaboratory of Syndrome Differentiation in Chinese Medicine,Guangzhou,Guangdong 510120,China)

机构地区：[1]广州中医药大学第二附属医院(广东省中医院)中医药标准化重点研究室,广东广州510120 [2]省部共建中医湿证国家重点实验室,广东广州510120 [3]广东省中医药防治难治性慢病重点实验室,广东广州510120 [4]重庆中医药学院针灸推拿学院,重庆402760 [5]中医证候全国重点实验室,广东广州510120

出　　处：《上海中医药杂志》2024年第11期13-20,共8页Shanghai Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金项目(U23A6012,U20A20397);省部共建中医湿证国家重点实验室项目(SZ2021ZZ0201);广东省重点领域研发计划项目(2020B1111100005);粤港澳中医药与免疫疾病研究联合实验室项目(2020B1212030006);国家中医药管理局中医药创新团队及人才支持计划项目(ZYYCXTD-C-202204);广州市重点研发计划项目(202206080006);广东省科技计划项目(2021B1212100007);广州市科技计划项目(2023B03J1226)。

摘　　要：目的调查专家对寻常型银屑病肝气郁结证的证候诊断经验,筛选该证候的诊断指标,评价其重要性,形成本病证候诊断标准。方法在文献研究的基础上,通过德尔菲法对全国32位专家进行4轮问卷调查,分析专家意见集中程度及协调程度,第4轮根据权重将各诊断指标分为主症及次症,形成肝气郁结证诊断标准。结果基于文献研究,共有27个证候诊断备选条目进入备选条目池。根据专家意见集中程度、协调程度对各证候诊断指标进行筛选,形成诊断指标19个,经同类合并,形成主症3个、次症7个。专家认可度较高的诊断标准判断条件选项为2个。结论专家的积极程度和专业程度较高,意见可信度较高,且协调程度较高。经过4轮调查,形成寻常型银屑病肝气郁结证的诊断标准。Objective To investigate the diagnostic experience of experts in identifying the syndrome of liver qi stagnation in psoriasis vulgaris,select diagnostic indicators for this syndrome,evaluate their importance,and establish diagnostic criteria for liver qi stagnation syndrome in psoriasis vulgaris.Methods Based on literature research,a four-round Delphi survey was conducted with 32 national experts,analyzing the concentration and coordination of expert opinions.In the fourth round,diagnostic indicators were categorized as primary or secondary symptoms based on their weighted importance to form the diagnostic criteria for liver qi stagnation syndrome.Results Based on literature research,27 potential diagnostic entries for the syndrome were initially identified.Based on the concentration and coordination of expert opinions,19 diagnostic indicators were finalized and categorized into 3 primary and 7 secondary symptoms.There were two diagnostic criteria with high expert recognition.Conclusions The enthusiasm and professionalism of the experts were high,credibility of opinions was strong,and the level of coordination was substantial.After four rounds of surveys,diagnostic criteria for liver qi stagnation syndrome in psoriasis vulgaris were established.

关 键 词：银屑病 中医证候 肝气郁结证 诊断标准 德尔菲法 中医标准化 

分 类 号：R275.9[医药卫生—中西医结合]