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| 基于德尔菲法对冠心病痰瘀互结证辨证依据的研究 |
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谢蓉1, 连新福1, 周旋2, 王彬2, 方格2, 任琦2, 何美莹2, 李先涛2
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1.广东省中医院珠海医院神经内科, 珠海 519015;2.广州中医药大学基础医学院, 广州 510006
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| 摘要: |
| [目的]基于德尔菲法专家咨询明确冠心病中医痰瘀互结证的辨证依据。[方法]在课题前期循证医学文献系统评价基础上，经过多次讨论修正，初步拟定《冠心病痰瘀互结证德尔菲法专家咨询问卷》，在全国范围内，先后开展了两轮德尔菲法专家咨询，共计88位专家参与。第1轮与第2轮咨询问卷的回收率及每位专家对各个问题的应答率，均为100%。[结果]冠心病痰瘀互结证德尔菲法专家咨询问卷的总信度为0.589 0，效度为71.724%，提示所拟定的专家咨询问卷稳定性及有效性尚可。对两轮咨询问卷条目的重要性、集中度、变异度及其排序进行分析，结果表明冠心病痰瘀互结证辨证依据的关键条目为胸闷、胸痛，苔腻，舌质暗（黯）紫，重要条目为舌有瘀斑、瘀点，肢体困重，唇青紫，备选条为脉弦涩，面色晦暗，体胖。[结论]该研究冠心病痰瘀互结证辨证依据的结果可作为临床辨证时的参考。 |
| 关键词: 冠心病 痰瘀互结证 辨证依据 德尔菲法 专家问卷 |
| DOI：10.11656/j.issn.1672-1519.2019.03.02 |
| 分类号:R2-03 |
| 基金项目:重点基础研究项目的国家计划（973计划）（2014CB542901）。 |
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| Assessing for syndrome differentiation basis of intermingled phlegm-blood stasis syndrome in coronary heart disease based on Delphi method |
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XIE Rong1, LIAN Xinfu1, ZHOU Xuan2, WANG Bin2, FANG Ge2, REN Qi2, HE Meiying2, LI Xiantao2
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1.Department of Neurology, Zhuhai Hosptial, Guangdong Provincial Hospital of TCM, Zhuhai 519015, China;2.Basic Medical College of Guangzhou University of Chinese Medicine, Guangzhou 510006, China
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| Abstract: |
| [Objective] To evaluate the relative importance of syndrome differentiation basis of intermingled phlegm-blood stasis syndrome in coronary heart disease.[Methods] On the basis of the literature evaluation system,expert consultation questionnaire for intermingled phlegm-blood stasis syndrome differentiation of traditional Chinese medicine (TCM) was formulated. two rounds of the modeling symptom quantitative evaluation of the importance of syndrome differentiation basis of intermingled phlegm-blood stasis syndrome in coronary heart disease was constructed. A total of 88 experts were participated. The recovery rate and each question response rate were 100% in two expert consultation questionnaires.[Results] The reliability and validity of two rounds of consultation total were 0.5890 and 71.724%,which suggested that stability and validity of the questionnaire were acceptable. The key items for diagnosis of intermingled phlegm-blood stasis syndrome in coronary heart disease were chest tightness/pain,greasy coating,tongue dark purple. The important items were tongue with petechia or bruise,heaviness of limbs,bluish lips. The optional items were wiry and choopy pulse,dim complexion,obesity.[Conclusion] The results of this research could serve as a reference for diagnosis of intermingled phlegm-blood stasis syndrome in coronary heart disease. |
| Key words: coronary heart disease intermingled phlegm-blood stasis syndrome syndrome differentiation Delphi method expert consensus |
