上气道咳嗽综合征中医诊疗指南制订的研究

发布时间：2018-05-09 13:19

本文选题：上气道咳嗽综合征 + 中医指南　；参考：《南京中医药大学》2017年硕士论文

【摘要】：本文为国家中医药管理局2015年中医临床诊疗指南制修订项目中的"上气道咳嗽综合征(制订)"(课题编号:SATCM-2015-BZ068)的组成部分。本文采取文献研究、德尔菲法问卷调查、专家论证会、同行评价、方法学质量评估、临床一致性测试等方法,开展上气道咳嗽综合征诊疗指南(制订)的研究。通过网络检索与手工检索相结合,通过中国内科古代文献数据库、中国知网平台、万方全文数据库、MEDLINE等平台和相关中西医内科教及诊疗指南等资料,搜集古今中外关于上气道咳嗽综合征的文献,对文献进行整理、评价、总结,为指南制订提供循证医学的证据。根据文献研究总结研讨形成了德尔菲法调查问卷,采用电子信函方式向有丰富临床经验的来自全国各地的30名专家进行了三次问卷调查。对每次回收的问卷的数据进行分析,结合专家提出的书面意见,修改形成下一轮的问卷,直到第三轮问卷调查结束后形成指南草稿。形成指南草稿后,邀请了 10名专家进行专家论证会,对指南草稿进行了讨论和论证,提出修改意见,形成指南初稿。将指南初稿通过电子信函的方式向全国各地30所单位的专家进行同行评价征求意见,16位专家回复,并提出建议,采纳部分意见,以此为依据,对指南进行修改,形成评价稿。同时,邀请4位专家进行指南方法学质量评价,根据提出意见进一步完善指南评价稿。在10家三级甲等医院作为评价单位进行临床一致性评价,共收集病例212例,完成病例调查表和一致性测试报告,并进行汇总分析,再次修改、补充相关材料,形成指南草案。
[Abstract]:This paper is an integral part of "Upper Airway cough Syndrome" (subject number: SATCM-2015-BZ068) in the 2015 revised item of TCM Clinical guidance system of the State Administration of traditional Chinese Medicine (SATCM-2015-BZ068). In this paper, the methods of literature study, Delphi questionnaire, expert demonstration, peer evaluation, methodological quality evaluation, clinical consistency test, etc., were used to develop the guidelines for the diagnosis and treatment of upper airway cough syndrome. Through the combination of network retrieval and manual retrieval, through the Chinese internal medicine ancient literature database, the Chinese knowledge and network platform, the Wanfang full text database and other platforms such as MEDLINE, and related materials such as traditional Chinese and western medicine, science and technology education and diagnosis and treatment guide, etc. The literature on upper airway cough syndrome was collected, reviewed, evaluated and summarized to provide evidence of evidence-based medicine for the development of guidelines. According to the literature review, a Delphi questionnaire was formed, and 30 experts from all over the country with rich clinical experience were investigated by email. After analyzing the data of each questionnaire and combining the written comments of the experts, the questionnaire is revised to form the next round of questionnaires until the end of the third round of questionnaires to form a draft of the guide. After the draft of the guide was formed, 10 experts were invited to conduct an expert demonstration meeting, to discuss and demonstrate the draft guide, to propose amendments, and to form the first draft of the guide. The first draft of the guide was e-mailed to experts from 30 units across the country for peer evaluation and 16 experts responded, and made recommendations and accepted some comments, based on which the guide was revised to form an evaluation draft. At the same time, four experts were invited to conduct a methodological quality evaluation of the guidelines to further refine the draft guidelines based on their comments. Clinical consistency evaluation was conducted in 10 Grade 3A hospitals. 212 cases were collected, case questionnaire and conformance test report were completed, collected and analyzed, revised again, supplemented relevant materials and formed draft guidelines.
【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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