摘要
目的初步构建胃肠气滞证评价体系。方法在课题组前期医学文献系统评价的基础上,采用德尔菲法,将24个高频条目通过3轮专家咨询确定条目指标,结合层次分析法明确指标比重值,初步构建胃肠气滞证评价体系。结果3轮专家德尔菲法共收回有效问卷84份,其中,第1轮15份,第2轮32份,第3轮37份。经统计,筛选出胀满(闷)或胀痛或窜痛(胃脘部、腹部等)、嗳气、肠鸣、矢气等16个条目。层次分析法得到一级指标的比重由高到低的排序分别为:临床症状、脉象、舌象;二级指标的比重由高到低的排序分别为:胀满(闷)或胀痛或窜痛(胃脘、腹部等)、脉弦、苔腻、苔薄白、脉弦滑、脉沉弦、舌质淡红、矢气、肠鸣、嗳气、遇情志不遂时易诱发或加重、呃逆、腹部时聚包块、纳呆、呕吐、嗳腐吞酸。结论以德尔菲法和层次分析法对胃肠气滞证进行研究,初步形成了评价体系,且指标结构合理,针对性强,具有较强的临床实用性。
Objective To establish a preliminary evaluation system for gastrointestinal qi stagnation syndrome.Methods On the basis of the systematic evaluation of medical literature in the early stage of the research group,24 high-frequency items were subjected to Delphi method,the item indexes were determined through three rounds of expert consultation,and the proportion value of the indexes was determined by AHP,and the evaluation system of gastrointestinal qi stagnation syndrome was initially constructed.Results A total of 84 valid questionnaires were collected by three rounds of Delphi method,including 15 in the first round,32 in the second round and 37 in the third round.According to the statistics,16 items including distention(stuffy)or distending pain or moving pain(epigastric,abdominal,etc.),belching,borborygmus,flatus,etc.were selected.The order of the proportion of the first level indexes obtained by the analytic hierarchy process from high to low is:clinical symptoms,pulse,tongue;The proportion of secondary indicators from high to low is as follows:distention(stuffy)or distending pain or moving pain(epigastric,abdominal,etc.),pulse string,greasy fur,thin white fur,slippery pulse string,pulse sinking string,light red tongue,flatus,borborygmus,belching,induced or aggravated in case of emotional distress,hiccup,abdominal mass,anorexia,vomiting,belching and swallowing acid.Conclusion Delphi method and analytic hierarchy process have been used to study gastrointestinal qi stagnation syndrome,and an evaluation system has been preliminarily formed.The index structure is reasonable,targeted and has strong clinical practicability.
作者
方格
谈宇权
范星宇
胡思远
王菲
陈家旭
李先涛
胡志希
Fang Ge;Tan Yuquan;Fan Xingyu;Hu Siyuan;Wang Fei;Chen Jiaxu;Li Xiantao;Hu Zhixi(School of Traditional Chinese Medicine,Hunan Traditional Chinese Medical College,Zhuzhou 412000,China;School of Traditional Chinese Medicine,Hunan University of Chinese Medicine,Changsha 410208,China;School of Traditional Chinese Medicine,Beijing University of Chinese Medicine,Beijing 100029,China;School of Traditional Chinese Medicine,Jinan University,Guangzhou 510632,China;School of Basic Medical Science,Guangzhou University of Chinese Medicine,Guangzhou 510006,China)
出处
《世界科学技术-中医药现代化》
CSCD
北大核心
2023年第10期3377-3383,共7页
Modernization of Traditional Chinese Medicine and Materia Medica-World Science and Technology
基金
广东省科学技术厅广东省重点领域研发计划项目(2020B1111100001):气滞证辨证标准的系统研究,负责人:陈家旭、胡志希、李先涛
湖南中医药大学研究生科研创新课题(2021CX04):基于NLRP3/IL-1β/PCSK9通路研究逍遥散对抑郁症肝郁脾虚证动物模型的标准化评价及机制研究,负责人:方格
关键词
德尔菲法
层次分析法
胃肠气滞证
评价体系
Delphi method
Analytic hierarchy process
Gastrointestinal qi stagnation syndrome
Evaluation system