中医风湿专科医生对纤维肌痛症认知水平的调查

Investigation on Cognitive Levels of Chinese Medicine Rheumatologists on Fibromyalgia

目的通过问卷调查了解中医风湿专科医生对纤维肌痛症的认知水平。方法采用匿名问卷调查的形式,记录医生基本信息,考察医生对纤维肌痛症分类标准和发病机理的掌握情况,调查医生对本病常见中医证候的认知情况。结果发放326份调查问卷,回收有效问卷201份,其中162名医生(80.6%)至少知晓一版分类标准,88名医生(43.8%)知晓本病发病机理,参与调查的医生认为本病最常见证候为肝气郁结证和气滞血瘀证。仍有20%的医生不清楚本病如何诊断,而超过50%的医生不清楚本病的发病机理。结论目前我国中医风湿专科医生对纤维肌痛症的认知水平较低,诊治本病的水平有待提高。

Objective To investigate the cognitive level of Chinese medicine rheumatologists on fibromyalgia by conducting questionnaire survey. Methods An anonymous questionnaire survey was adopted to record the basic information of doctors,examine condition that how doctors master the classification and pathogenesis of fibromyalgia,and investigate the cognition of doctors on common Chinese medical syndromes of this disease. Results Three hundred and twenty six questionnaires were issued,and 201 valid questionnaires were collected. Among 201 doctors who answered the questionnaires appropriately,162（ 80. 6%） knew one version of classification standard at least,and 88（ 43. 8%） knew the pathogenesis of this disease. Doctors involved in the investigation supposed that the most common syndrome of this disease is stagnation of liver Qi,Qi stagnation and blood stasis syndrome. There were still 20% of the doctors without knowledge of how to diagnose the disease,and more than 50% of the doctors not knowing the pathogenesis of this disease. Conclusion In the present,cognitive level of Chinese Medicine rheumatologists in China on fibromyalgia is rather low. Skills of treatment and diagnosis of this disease need to be improved.