基于德尔菲法和共识会议法的骨质疏松症中医证候研究

发布时间：2018-02-16 05:08

本文关键词： 德尔菲法共识会议法骨质疏松症证候规范化　出处：《南京中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：研究目的运用德尔菲法和共识会议法对骨质疏松症中医证候进行研究,旨在制订有广泛共识的骨质疏松症中医证候分型及各分型的辨证要点,为骨质疏松症中医临床提供积极地借鉴和指导作用。研究方法本课题是国家中医药管理局标准化项目:骨质疏松中医治未病实践指南的一部分。在文献回顾及整理的基础上设计出第一轮专家问卷调查表,其内容包括骨质疏松症证候分类及各分类的辨证要点。第一轮专家问卷调查表形成后,以电子邮件的形式发送给全国各位专家进行咨询。经过对第一轮回收问卷中的专家意见进行统计来分析专家意见的集中程度和协调程度进而对条目进行取舍,在此基础上形成第二轮的专家问卷调查表。以同样的方法向专家行第二轮咨询,形成骨质疏松症证候规范化研究的初稿。骨质疏松症中医证候规范化研究初稿形成后再经10位权威专家的2次现场论证会讨论,最后形成了骨质疏松症证候分型及各分型辨证要点的共识。研究结果从问卷回复情况来看,第一、二轮问卷的专家积极系数分别为77.5%、100%,说明专家参与本研究的积极性高;从专家分布来看,两轮问卷中的专家来自于12个不同城市,其中教授22.6%、副教授19.4%、主任医师51.6%,副主任32.3%,其他6.5%,其中从事风湿病学的比例为87.1%,其他比例为12.9%,说明具有良好的学科代表性和权威性;两轮问卷均删除了重要性低(R50%或x1)及专家意见协调程度差(CV0.7)的条目,形成了骨质疏松症证候规范化研究的初稿,再经2轮权威专家面对面的讨论,最终形成了具有高度共识的骨质疏松症中医证候分型及各分型的辨证要点。研究结论德尔菲法与共识会议法是中医证候规范化研究中的重要方法,具有实用性、可操作性,在充分文献调研基础上采用本法可以建立骨质疏松症中医证候分型及各分型辨证要点的共识,为骨质疏松症的中医防治奠定基础。
[Abstract]:Objective to study the TCM syndromes of osteoporosis by Delphi method and consensus meeting, in order to make out the syndrome classification of osteoporosis and the main points of syndrome differentiation. The research method is a part of the standardization project of the State Administration of traditional Chinese Medicine: a practical guide to the treatment of osteoporosis in traditional Chinese medicine. The first round of expert questionnaire is designed on the basis of theory. The contents include the classification of osteoporosis syndrome and the main points of syndrome differentiation of each classification. After the first round of expert questionnaire was formed, Send it to experts from all over the country for consultation in the form of email. After analyzing the concentration and coordination of the expert opinions in the first round of the callback questionnaire, we will choose and choose the items. On this basis, a second round of expert questionnaires was formed. The second round of consultation with experts was conducted in the same way, The first draft of the study on the standardization of osteoporosis syndromes. After the first draft of the study on the standardization of traditional Chinese medicine syndromes of osteoporosis was formed, it was further discussed by two on-site demonstration sessions of 10 authoritative experts. Finally, a consensus was formed on the classification of osteoporosis syndromes and the key points of syndrome differentiation. The results showed that the positive coefficients of experts in the first and second rounds of questionnaires were 77.5% and 100 respectively, which indicated that the experts' enthusiasm for participating in this study was high. In terms of the distribution of experts, the experts in the two rounds came from 12 different cities, Among them, the professor 22.6cm, the associate professor 19.4k, the chief physician 51.6, the deputy director 32.332, the other 6.5, the proportion of rheumatology is 87.1 and the other is 12.9. it shows that it has good subject representation and authority; In both rounds of questionnaires, the items of low importance R50% or x1) and poor coordination of expert opinions were deleted. The first draft of the standardized study of osteoporosis syndrome was formed, and then two rounds of face-to-face discussions among authoritative experts were conducted. Finally, a highly common understanding of TCM syndrome classification of osteoporosis and the main points of syndrome differentiation were formed. Conclusion Delphi method and consensus conference method are important methods in the standardization research of TCM syndromes, which have practicability and maneuverability. On the basis of full literature investigation, this method can be used to establish the consensus of TCM syndrome classification and key points of syndrome differentiation of osteoporosis, and lay a foundation for TCM prevention and treatment of osteoporosis.
【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R259

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