蛔虫病中医药诊疗指南第一轮专家问卷调查方法和结果分析

Method and Result Analysis of the First Turn of Expert Questionnaires of Diagnosis and Treatment Guideline of TCM in Treating Infantile Ascariasis

目的制订小儿蛔虫病中医药诊疗指南。方法采用德尔菲(Delphi)法,在文献调研的基础上,编制《蛔虫病中医诊疗指南》第一轮专家问卷,向全国40位专家发送问卷调查,回收有效问卷35份,从诊断、证候分类、治法、选方等方面进行统计分析。结果小儿蛔虫病的诊断指标中,脐周腹痛、反复发作的均数、满分比、等级和最高,分别为1.91、0.00、42;变异系数为0.154。证型指标中,肠蛔虫证的均数、满分比、等级和最高,分别为2.00、0.00、70;变异系数为0.000。治法和选方指标中,驱蛔杀虫、乌梅丸的均数、满分比、等级和均最高,两者三项指标值分别为1.97、0.00、69,变异系数均为0.086。结论专家对小儿蛔虫病各项诊疗指标意见的集中程度和协调程度不一,尚需要进一步进行专家问卷调查,使专家的意见逐渐达成共识,以建立临床实用的、科学的蛔虫病中医诊疗指南。

Objective To formulate diagnosis and treatment guideline of TCM in treating infantile ascariasis. Methods： According to Delphi method, the first turn of expert questionnaires survey of this guideline was compiled on the basis of literate review. These questionnaires were mailed to 40 nationwide experts, in which 35 were taken back. Statistical analysis was made from the aspect of diagnosis, the classification of syndrome and symptom, therapy, prescriptions, etc. Results Among diagnosis indexes of infantile ascariasis, the mean, percentage and the highest rank sum of ＂repeated abdominal pain around umbilicus＂ were 1.91, 0.00, 42, and the variation coefficient was 0.154. Among all the indexes of syndromes, the mean, percentage and the highest rank sum of ＂intestinal ascariasis syndrome＂ were 2.00, 0.00, 70, and the variation coefficient was 0.000. The mean, percentage and the highest rank sum of both ＂evicting ascariasis＂ and ＂Wumei Pills＂ were 1.97, 0.00, 69 in the indexes of therapy and prescription, and the variation coefficient was 0.86. Conclusion Experts have different opinions on the degrees of unification and coordination about each diagnosis and treatment index of infantile ascariasis. Further questionnaire survey should be done to make the views of experts gradually reach a consensus in order to establish clinical practical and scientific TCM diagnosis and treatment guideline of ascariasis.