ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2025, Vol. 17 ›› Issue (5): 410-417.doi: 10.20274/j.cnki.issn.1674-3865.2025.05.009

• 调查研究 • 上一篇    下一篇

基于德尔菲法的儿童社区获得性肺炎中医证候专家问卷分析

刘潜1, 王雪峰2(), 张秀英2, 冯欣然1, 倪艳艳1, 田智帆1, 王辉1   

  1. 110847 沈阳，辽宁中医药大学中医儿科学专业研究生（刘潜，冯欣然，倪艳艳，田智帆，王辉）
    110032 沈阳，辽宁中医药大学附属医院儿科（王雪峰，张秀英）
  • 收稿日期:2025-06-13 修回日期:2025-07-20 出版日期:2025-10-25 上线日期:2025-10-25
  • 通讯作者: 王雪峰 E-mail:lnzywxf@163.com
  • 作者简介:刘潜（2000-），女，辽宁中医药大学2023级硕士研究生在读。研究方向：中医药防治儿童肺系疾病
  • 基金资助:
    国家中医药管理局中医传承创新中心重点病种建设项目(2024-1);国家中医药管理局小儿肺炎毒热证重点研究室建设项目(2023-1);王雪峰全国名老中医药专家传承工作室建设项目(国中医药人教发〔2022〕75号)

Analysis of expert questionnaire on TCM syndromes of community-acquired pneumonia in children based on Delphi method

Qian LIU1, Xuefeng WANG2(), Xiuying ZHANG2, Xinran FENG1, Yanyan NI1, Zhifan TIAN1, Hui WANG1   

  1. 1.Liaoning University of Traditional Chinese Medicine, Shenyang 110847, China
    2.Affiliated Hospital of Liaoning University of Traditional Chinese Medicine, Shenyang 110032, China
  • Received:2025-06-13 Revised:2025-07-20 Published:2025-10-25 Online:2025-10-25
  • Contact: Xuefeng WANG E-mail:lnzywxf@163.com
  • Supported by:
    Key Disease Project of the Inheritance and Innovation Center of Traditional Chinese Medicine of the National Administration of Traditional Chinese Medicine(2024-1)

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摘要：

目的 运用德尔菲法调查专家对儿童社区获得性肺炎（CAP）的证候诊断经验，筛选证候的诊断指标，评价其重要性，为儿童CAP诊断标准的制定提供证据参考。 方法 在文献研究的基础上，通过德尔菲法向遴选出的专家开展问卷调查，运用Excel和SPSS 27.0软件对问卷结果进行统计学处理，计算专家积极系数、专家权威系数、专家意见协调程度及集中程度等。 结果 共选取国内30位专家进行问卷调查，问卷回收率为90%，专家权威系数为0.905，专家协调系数为0.348，差异有统计学意义（P<0.001）。第一轮专家调查问卷共设置热邪闭肺证、肺脾气虚证、湿热闭肺证、风寒闭肺证、风热闭肺证、毒热闭肺证、痰热闭肺证及阴虚肺热证8个证型，并对其证候特征作了分析。 结论 本研究初步探讨儿童CAP的中医证候分布规律及其特征，为后续开展儿童CAP中医证候诊断标准及临床研究奠定基础。

关键词: 社区获得性肺炎, 德尔菲法, 证候, 专家问卷, 儿童

Abstract:

Objective To investigate the diagnostic experience of experts on the syndrome of community-acquired pneumonia(CAP) in children by using the Delphi method, screen for the diagnostic indicators of syndromes, evaluate their importance, and provide evidence for the formulation of diagnostic standards for pediatric CAP. Methods Based on literature research, a questionnaire survey was conducted among selected experts using the Delphi method. The results of the questionnaire were statistically processed using Excel and SPSS 27.0 software, and the expert positive coefficient, expert authority coefficient, and the expert opinion coordination degree and concentration degree were calculated. Results A total of 30 domestic experts were selected for the questionnaire survey, with a questionnaire recovery rate of 90%. The expert authority coefficient was 0.905, and the expert coordination coefficient was 0.348(P<0.001). A total of 8 syndrome types were set up in the first round of expert questionnaire survey, including syndrome of heat pathogen blocking the lung, syndrome of lung and spleen-qi deficiency, syndrome of damp-heat blocking the lung, syndrome of wind-cold blocking the lung, syndrome of wind-heat blocking the lung, syndrome of toxic-heat blocking the lung, syndrome of phlegm-heat blocking the lung and syndrome of yin-deficiency with lung-heat, and their syndrome characteristics were analyzed. Conclusion This study initially explores the distribution pattern and characteristics of TCM syndromes in pediatric CAP, laying a foundation for subsequent researches on the diagnostic standards and clinical studies of TCM syndromes in pediatric CAP.

Key words: Community-acquired pneumonia, Delphi method, Syndrome, Expert questionnaire, Child

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