基于德尔菲法的《头痛发作中医治疗临床实践指南》推荐意见的研究  

Research on recommendations in Traditional Chinese Medicine Guidelines for Acute Primary Headache with Delphi method

作　　者：廖书琴 姚钰宁 曹克刚[1,2] LIAO Shuqin;YAO Yuning;CAO Kegang(Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700,China)

机构地区：[1]北京中医药大学东直门医院脑病科,100700 [2]北京中医药大学中医脑病研究院

出　　处：《环球中医药》2024年第11期2219-2226,共8页Global Traditional Chinese Medicine

基　　金：国家重点研发计划(2019YFC1712000)。

摘　　要：目的形成《头痛发作中医治疗临床实践指南》(以下简称“本指南”)推荐意见,为本指南的制订提供参考。方法通过检索国内外与原发性头痛、头痛、头风等相关文献,设计专家咨询问卷。选取全国各地18位相关领域专家,应用德尔菲法进行两轮专家咨询,并依据结果对本指南内容进行修改。结果本次研究每轮问卷发放问卷18份,2轮专家积极系数分别为94%、89%,提示专家积极性高。第一轮Cronbach’sα系数为0.934,提示问卷的信度好。经过两轮问卷咨询,各推荐意见条目的算术平均分满足x>1.8,平均变异系数分别为0.20±0.12、0.02±0.04,表明专家对本指南纳入的推荐意见达成共识。结论本研究应用德尔菲法形成了本指南的推荐意见,为中医治疗头痛发作临床实践的标准化、规范化提供了支持。Objective Forming the recommendations of Traditional Chinese Medicine(TCM)Guidelines for Acute Primary Headache(hereinafter referred to as‘the guidelines’).To provide references for the development of the guidelines.Methods The expert consultation questionnaire was designed through retrieval of literature related to primary headache and headache in China and abroad.In this study,18 experts from related fields all over the country were selected for two rounds of expert consultation using the Delphi method and the contents of the guidelines were revised based on the results of the questionnaire.Results In this study,18 questionnaires were distributed in each round,and the positive coefficients of experts in two rounds were 94%and 89%,respectively,indicating that the enthusiasm of experts was high.The Cronbach’sαcoefficient in the first round was 0.934,indicating the good reliability of the questionnaire.After two rounds of questionnaire consultation,the arithmetic average scores of each recommendation item met the requirement of E>1.8,and the average CV values were 0.20±0.12 and 0.02±0.04,respectively,indicating that experts reached a consensus on the recommendations included in the guidelines.Conclusion In this study,the Delphi method was used to form the recommendations of the guidelines,which provided evidences for the standardization and standardization of clinical practice of TCM treatment of headache.

关 键 词：德尔菲法 头痛发作 中药 治疗 指南 

分 类 号：R259[医药卫生—中西医结合]