利用德尔菲法确立心血瘀阻证诊断标准

目的调查专家对心血瘀阻证的诊断经验,筛选心血瘀阻证诊断指标,评价其重要性,为心血瘀阻证量化的诊断指标提供参考。方法通过德尔菲法对全国20位专家进行两轮问卷调查,利用SPSS软件,对问卷反馈的数据进行集中程度、协调程度、权威程度的统计与评价。结果两轮问卷的回收率皆为100%,第一轮问卷协调系数为0.658,卡方检验χ2=189.544,P<0.05;第二轮问卷协调系数为0.622,卡方检验χ2=235.232,P<0.05,专家权威程度平均值85%。结论 20位专家的积极程度和专业程度较高,意见可信度较高,且协调程度较高。胸痛、疼痛如刺、疼痛部位相对固定、舌有瘀斑或瘀点、心胸憋闷、口唇紫暗、脉涩等信息条目可作为心血瘀阻证的诊断指标。

英文摘要:

Objective To provide a reference for quantitative diagnosis of Xin-blood stasis syndrome (XBSS) by way of collecting experiences from experts,screening out the diagnostic indices and evaluating their significance. Methods With Delphi method adopted,two rounds of questionnaire survey were carried out in 20 experts,the feedback data were statistically analyzed in terms of concentricity,coordination and authority using SPSS software. Results The recovery rates of the two round survey were all 100%; the coordinate coefficient was 0.658 in the first round and 0.622 in the second. And results passed the Chi-square test with P<0.05,χ2=189.544 in first round and 235.232 in second round. The average degree of expert’s authority was 85%. Conclusions The enthusiasm and speciality of the 20 experts were high,and their opinions are of high reliability with great coordination. The information entries,including chest pain,stabbing pain,pain on a relatively fixed position,chest stuffiness,ecchymosis or petechia on tongue,dark-purplish lip and unsmooth pulse,can be taken as the diagnostic indices for XBSS sydrome.

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