基于德尔菲法探讨分析苗医肺架痛症

Based on Delphi Method,Discuss and Analyze Lung frame Pain of Miao Medicine

目的:基于苗医肺架痛症系统下对各症状条目进行筛查,为建立肺架痛症系统化认识及标准化诊断提供可靠依据。方法:通过文献检索和查找苗医学文献,收集肺架痛症主要症状,建立备选条目池;通过德尔菲法(Delphi)对贵州几家具有苗医药地域优势的医院进行两轮问卷调查,根据每轮调查结果进行统计分析、评价和筛查肺架痛症主要症状条目池。结果:通过文献检索纳入条目0项,苗医资料查阅纳入条目38项,共38项肺架痛症条目进入调查。每轮发放问卷20份,回收20份,回收率100%。删除重要性得分在3分及以下者,第1轮19项,第2轮7项,最终筛查出肺架痛症症状条目为咳嗽、咯黄色粘痰、胸痛、咳时胸痛、喘息、气急、发热、面色潮红、口干、舌红、苔黄、脉大而快等12项。其变异系数<0.25,专家权威程度平均为分(0.74±0.23)。结论:经本次调查分析专家积极度高、集中度高,所获咳嗽、咯黄色粘痰、胸痛、咳时疼痛、喘息、气急、发热、面色潮红、口干、舌红、苔黄、脉大而快12项肺架痛症症状条目池可作为肺架痛症临床评估及诊断的主要条目。

Objective To screen each symptom item based on the pulmonary framework pain system,and to provide a reliable basis for the establishment of systematic recognition and standardized diagnosis of pulmonary framework pain.Methods the main symptoms of pulmonary framework pain were collected through literature search and literature search of miao medical patients,and the alternative entry pool was established.A two-part questionnaire survey was conducted on several hospitals with regional advantages of miao medicine in guizhou by Delphi method.According to the results of each round of survey,statistical analysis,evaluation and screening of the main symptom entry pool of pulmonary framework pain were conducted.Results 0 items were included in the literature search,38 items were included in the data search of miao doctors,and a total of 38 items were investigated.20 questionnaires were issued in each round,20 were collected,and the recovery rate was 100%.For those with significance score of 3 or less,there were 19 items in the first round and 7 items in the second round.Finally,12 items were identified as symptoms of pulmonary rack pain,including cough,yellow sticky phlegm,chest pain,chest pain when coughing,wheezing,shortness of breath,fever,flushing,dry mouth,red tongue,yellow moss,big and fast pulse.The variation coefficient was<0.25,and the average degree of expert authority was 0.74±0.23.Conclusion according to this survey,12 items of pulmonary framework pain,including cough,yellow phlegm,chest pain,cough pain,wheezing,shortness of breath,fever,flushing,dry mouth,red tongue,yellow lichen,big and fast pulse,can be used as the main items for clinical evaluation and diagnosis of pulmonary framework pain.