【作者】 刘文；

【导师】 赵霞；

【作者基本信息】 南京中医药大学 ， 中医儿科学， 2011， 硕士

【摘要】 目的：在德尔菲法和文献研究的基础上,通过专家问卷调查得出《哮喘患儿体质分型及中医干预方案》,以期形成能够指导小儿哮喘防治的规范化、标准化的小儿体质分型体系及中医干预方案。方法：Ⅰ文献研究——通过对中医儿科主要古籍文献的回顾以及结合人工检索、计算机检索、网络检索等方法,查阅古代及现代有关哮喘患儿体质分型及中医干预的中医及中西医结合方面的文献作为评价对象。Ⅱ专家调查——采用改良Delphi法进行专家问卷调查。采用均数、等级和、不重要百分比、变异系数的方法对每轮问卷中专家意见的协调程度与集中程度进行评价,并进行统计分析,最后将分析结果在下轮问卷中反馈给专家,经过两轮问卷,三次审稿会,最终形成哮喘患儿体质分型及中医干预方案,并予以标注推荐建议级别。结果：通过中国期刊全文数据库(CJFD,1990—2009)检索出近20年符合要求的目标文献212篇,并结合哮喘患儿体质分型及中医干预中医医史文献的研究,制定专家问卷,共进行两轮问卷调查,专家积极系数分别为80%,91.43%。综合专家问卷调查结果和文献检索分析结果,召开了3次审稿会,征求儿科医生以及课题组的意见,最终形成了符合临床实际的科学规范的《哮喘患儿体质分型及中医干预方案》。结论：在德尔菲法和文献研究的基础上进行哮喘患儿体质分型及中医干预方案的规范化研究,并根据反馈专家所提供的意见和建议,我们成功制订了《哮喘患儿体质分型及中医干预方案》,提供了一种哮喘患儿体质分型及相应中医干预的方案,丰富了中医体质学说,填补体质理论对具体疾病防治的研究空白,进一步完善了哮喘患儿缓解期日常保育方案,也为临床医师提供中医标准化处理的策略与方法。更多还原

【Abstract】 Objective:Based on Delphi method and the document study, to form the classification of constitution of the asthma patients and traditional intervention plan by the expert questionnaire survey methed, to form the canonical and standardized children’s constitution classification system and traditional intervention plan which can guide pediatric control of the asthma.Methods:I Document study-Recalling the main paediatric ancient chinese literature and combined with artificial retrieval, computer retrieval, network retrieval methods to consult the literature and modern materials which is on traditional chinese medicine and combination of chinese traditional and western medicine concernjing the classification of constitution of the asthma patients and traditional intervention plan which as evaluation objects.ⅡExpert Survey-Using improved Delphi questionnaire survey methed. In the questionnaires, average, grading, unimportant percentage, coefficient of variation are calculated to statistically analyze the extent and level of coordination of experts’opinion of various indexes.Through two rounds of questionnaire and three times manuscripts, the classification of constitution of the asthma patients and traditional intervention plan is formatted and shall mark recommend that level.Results:212 literatures conformde to requst goal are retrieved by retrieving of nearly 20 years of the chinese journal full-text database (CJFD,1990-2009), aftert researching ancient and modern literatures, turned two rounds of experts questionaire, the cousultation table returns-ratio is 80.00%,91.43% respectively. Integrating expert questionnaire survey results and document retrieval analysis results, held 3 times manuscripts will, ask for pediatricians and our opinions, the classification of constitution of the asthma patients and traditional intervention plan which is scientific,canonical and consistent with the clinical practice is established ultimately.Conclusion:We successfully establish the classification of constitution of the asthma patients and traditional intervention plan based on Delphi method and the document study combined with feedback experts offer opinions and suggestions. Provide a kind of asthma patients constitution subtypes and corresponding traditional intervention plan, enrich the traditional chinese medicine (TCM) theory of constitution, fill the constitutional theory to specific disease prevention and cure research blank, further improved asthma patients daily conservation scheme remission for clinicians, also provide standardization of traditional chinese medicine (TCM) treatment strategies and methods.更多还原