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 ›› 2009, Vol. 1 ›› Issue (1): 54-57.

• 论著 • 上一篇    下一篇

“中医药治疗小儿病毒性肺炎疗效评价方法研究”第三轮专家问卷分析

赵霞，汪受传，李德   

  1. 210029 南京，南京中医药大学儿科研究所(赵霞，汪受传，李德)
  • 出版日期:2009-02-25 发布日期:2019-06-10
  • 通讯作者: 汪受传，210029 南京，南京中医药大学儿科研究所，Email:wscnj@126.com。
  • 作者简介:赵霞（1972-），女，医学博士，副教授、副主任医师，硕士研究生导师。研究方向：小儿肺系疾病的研究。
  • 基金资助:
    国家“十五”科技攻关项目资助课题（2004BA716B03）

An analysis of the third turn of questionnaires on the study of methods for effect evaluation of TCM treatment for children virus pneumoni

ZHAO Xia，WANG Shouchuan，LI De.   

  1. Department of Pediatrics，Nanjing University of TCM，Nanjing 210029，China
  • Online:2009-02-25 Published:2019-06-10

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摘要： 目的探讨中医药治疗小儿病毒性肺炎疗效评价方法。
方法
根据前两轮专家问卷的结果，编制中医药治疗小儿病毒性肺炎疗效评价方法专家问卷，向全国30位专家发送问卷调查，采用德尔菲法对问卷结果进行分析。
结果在疾病疗效评价方法中，全胸片、症状、体温、肺部听诊、主症积分减少均数（〖AKx-〗）＞1.5，满分比（K）＞0.5，变异系数（CV）＜0.4；在构成证候的指标变化的评价中，发热、咳嗽、喘促、肺部听诊、全胸片的〖AKx-〗值＞1.5，K值＞0.5，CV值＜0.4；在主要结局指标的评价中，喘促、肺部听诊的K值为1，CV值为0。
结论全胸片、症状、体温、肺部听诊可入选疾病疗效评价指标；咳嗽、肺部听诊、X射线全胸片等可入选小儿病毒性肺炎主要证候指标；其中喘促、肺部听诊为重要的结局指标。

关键词: 病毒性肺炎/中医药疗法, 病证, 儿童, 病机, 疗效评价, 德尔菲法

Abstract: ObjectiveTo study the methods for evaluating effect of TCM treatment for children virus pneumonia.
MethodsOn the basis of the outcome of analysis made on the previous two turns of questionnaires，the third turn of questionnaires was prepared to investigate the effect evaluation method of TCM treatment for children virus pneumonia.They were distributed to 30 experts in this field all over the country.The questionnaire was analyzed with the method of Delphi Measurement.
ResultsChest Xray，symptoms，body temperature，lung auscultation and main symptoms' score reduction were very important in disease effect evaluation，the mean number more than 1.5，the ratio of full score higher than 0.5 and the coefficient of variation less than 0.4；cough，lung auscultation，chest Xray and so on were main components in the syndrome，and the mean number，the ratio of full score and the coefficient of variation was 2，1and 0 respectively；dyspnea，lung auscultation and chest Xray were main final result index and the ratio of full score and the coefficient of variation was 1 and 0 respectively.
ConclusionChest Xray，symptoms，body temperature and lung auscultation are very important in disease effect evaluation；cough and lung auscultation are main components in the syndrome；dyspnea and lung auscultation are main final result index.

Key words: Virazole pneumonia/TCM treatment；Symptoms and signs；Children, Pathogenesis；〖JP〗Effect evaluation, Delphi method