基于Delphi法的慢性稳定性冠心病中医临床辨证用药专家调查

Questionnaire on TCM Syndrome Differentiation and Drug Use of Chronic Stable Coronary Artery Disease Based on Delphi Method

目的对慢性稳定性冠心病中医临床辨证用药特点进行专家调查。方法运用Delphi法在全国范围内开展慢性稳定性冠心病中医辨证用药问卷调查。结果慢性稳定性冠心病临床中常用单味中药包括茯苓、丹参、半夏、黄芪、川芎、桂枝、栝蒌、麦冬、红花、泽泻、当归、陈皮、赤芍、枳壳、党参、三七、桃仁、郁金等,其中评分均值≥4.0分共有43味中药,满分比在25.00%~93.75%之间,零分比在0.00%~3.13%之间,变异系数在0.05~0.27之间。结论慢性稳定性冠心病常用中药与中医证候临床流行病学调查结果相符,基于专家共识的调查结果具有一定的临床指导意义。

Objective To grasp the characteristics in Chinese medicine（CM） prescription of chronic stable coronary heart disease. Method Using Delphi method, to conduct one questionnaire survey on CM syndrome differentiation of chronic stable coronary heart disease in the nationwide scope. Results The commonly used Chinese herbs include Poria Cocos, Salvia miltiorrhiza, Pinellia ternata, Radix astragali, Ligusticum wallichii, Cassia twig,Trichosanthes Kirilowii, Radix ophiopogonis, Crocus sativus, Rhizoma alismatis, Radix angelicae sinensis, Pericarpium citri Reticulatae, Red paeony root, Fructus aurantii, Radix codcnopsitis pilosulax, Radix notoginseng, Peach kernel, Radix curcumae etc. The full score ratio of the 43 Chinese herbs with mean value ≥4.0 was 25.00%-93.75%, the zero point ratio was between 0%-3.13% and the coefficient of variation was between 0.05-0.27. Conclusion The commonly used Chinese herbs is accordance with the clinic epidemiology on CM syndromes, the results based on the expert consensus has good clinical significance.