基于德尔菲法及层次分析法构建IgA肾病气阴两虚证条目权重

Construction of Item Weights of Qi Yin Deficiency Syndrome in IgA Nephropathy Based on Delphi Method and Analytic Hierarchy Process

目的通过德尔菲法与层次分析法相结合,建立IgA肾病气阴两虚证诊断标准。方法经过文献研究形成气阴两虚证条目池,基于此条目池及专家讨论后形成专家调查问卷,进行两轮德尔菲法进行专家问卷调查,再通过层次分析法计算条目的权重值,最终形成IgA肾病气阴两虚证诊断问卷,为最终形成诊断标准奠定基础。结果通过德尔菲法和层次分析法,最终获得以下12个条目及其权重值:①神疲乏力:13.1205%;②腰膝酸软:7.8514%;③口干或咽干:10.6984%;④手足心热:8.985%;⑤耳鸣:4.0495%;⑥易感冒:8.8027%;⑦自汗或盗汗:9.4594%;⑧尿黄或尿红赤:4.7458%;⑨淡红舌:6.906%;⑩舌体胖大:7.159%;⑪少苔或苔薄白:8.947%;⑫脉沉弱或兼细数:9.275%。结论通过德尔菲法与层次分析法相结合对IgA肾病气阴两虚证各条目进行定性分析与定量评估,得出IgA肾病气阴两虚证最佳条目及其具体权重,为今后标准的形成提供参考。

Objective To establish the diagnostic criteria of deficiency of Qi and Yin in IgA nephropathy by combining Delphi method with analytic hierarchy process.Methods After literature research,an item pool of Qi and yin deficiency syndrome was formed.Based on this item pool and expert discussion,an expert questionnaire was formed.Two rounds of Delphi method were used to conduct expert questionnaire survey,and then the weight value of the items was calculated by AHP.Finally,a diagnostic questionnaire of Qi and yin deficiency syndrome in IgA nephropathy was formed,which laid a foundation for the final formation of diagnostic criteria.Results Through Delphi and analytic hierarchy process,the following 12 items and their weights were finally obtained:①mental fatigue:13.1205%;②Weak waist and knees:7.8514%;③Dry mouth or throat:10.6984%;④Hand foot heart heat:8.985%;⑤Tinnitus:4.0495%;⑥Susceptible to cold:8.8027%;⑦Spontaneous or night sweat:9.4594%;⑧Yellow or red urine:4.7458%;⑨Pale red tongue:6.906%;⑩Fat tongue:7.159%;⑪Less moss or thin white moss:8.947%;⑫Weak or thin pulse:9.275%.Conclusion Through the combination of Delphi method and analytic hierarchy process,the qualitative analysis and quantitative evaluation of each item of Qi and yin deficiency syndrome in IgA nephropathy were carried out,and the best item and specific weight of Qi and yin deficiency syndrome in IgA nephropathy were obtained,providing a reference for the formation of future standards.