基于德尔菲(Delphi)法的中医药治疗小儿病毒性肺炎疗效评价方法专家问卷调查分析

Investigation on Experts' Questionnaires of Curative Effect Evaluation Method of Traditional Chinese Medicine in Treating Pediatrics Viral Pneumonia Based on Delphi Method

目的:探讨中医药治疗小儿病毒性肺炎疗效评价方法。方法:采用德尔菲(Delphi)法,在前三轮专家问卷的基础上,编制中医药治疗小儿病毒性肺炎疗效评价方法第四轮专家问卷,向全国30位专家发送问卷调查,对20位回信进行分析。结果:在疾病疗效评价方法中,X线或CT炎症阴影、咳嗽偶作、体温、肺部音满分比大于0.95,变异系数小于0.24;在构成证候的指标变化评价中,咳嗽、肺部听诊、X线CT等10项指标满分比大于0.9,变异系数小于0.34;在主要结局指标的评价中,喘促、肺部听诊、全胸片满分比为1,变异系数为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线CT等可入选主要证候指标;喘促、肺部听诊、全胸片为结局指标。

Objective： To probe the curative effect evaluation method of traditional Chinese medicine in treating pediatrics virus pneumonia. Methods： On the basis of the outcome of analysis made on the preceding three turns of experts＇ questonnaires, the fourth turn of questionnaires was prepared to investigate the curative effect evaluation method of traditional Chinese medicine in treating pediatrics viral pneumonia. They were distributed to 30 experts in this field all over the country. The questionnaires were analyzed with the method of Delphi Measurement. Results： Chest X ray, cough, temperature, lung auscultation and so on were very important in disease curative effect evaluation, the ratio of full score higher than 0.95 and the coefficient of variation less than 0.24; cough, lung auscultation, Chest X ray and so on were main components in the syndrome and the ratio of full score and the coefficient of variation were respectively more than 0.90 and less than 0.34; dyspnea with rapid and short breath, lung auscultation and Chest X ray were main final result index and the ratio of full score and the coefficient of variation was respectively 1 and 0. Conclusion： Chest X ray, symptoms, temperature and lung auscultation were very important in disease curative effect evaluation; cough, lung auscultation and Chest X ray were main components in the syndrome; dyspnea with rapid and short breath, lung auscultation and Chest X ray were main final result index.