Zhang Ying, Xue Liu-Hua, Chen Yu-Xia, Huang Shi-Jing, Pan Ju-Hua, Wang Jie
Traditional Chinese Medicine R&D Center, Guang'anmen Hospital of China Academy of Medical Sciences, Beijing 100053, China.
Zhongguo Zhong Yao Za Zhi. 2013 Aug;38(15):2489-92.
To norm the behavior of AIDS cough in traditional Chinese medicine diagnosis and treatment and improve the clinical level of cough treatment for HIV/AIDS, and build AIDS cough diagnosis and treatment procedures in traditional Chinese medicine.
Combined with clinical practice,to formulate questionnaire on AIDS cough in traditional Chinese medicine diagnosis and treatment by both English and Chinese literature research to expertise consultation and verify the results of the questionnaires on the statistics using the Delphi method.
Questionnaire contents consist of overview, pathogeny, diagnosis standard, dialectical medication (phlegm heat resistance pulmonary lung and kidney Yin deficiency lung spleen-deficiency), treating spleen-deficiency (lung), moxibustion treatment and aftercare care and diet and mental, average (2.93-3.00), full mark rate (93.10%-100%) ranks average (9.91-10.67) and (287.50-309.50) of which are the most high value, and the variation coefficient is 0.00, the Kendall coefficient (Kendalls W) is 0.049 which is statistical significance, the questionnaire reliability value of alpha was 0.788.
Preliminary standarded concept, etiology and pathogenesis, diagnosis and syndrome differentiation treatment of AIDS cough, basically recognised by the experts in this field, and laid the foundation of traditional Chinese medicine diagnosis and treatment on develop the AIDS cough specifications.
规范艾滋病咳嗽的中医诊疗行为,提高HIV/AIDS咳嗽的临床治疗水平,构建艾滋病咳嗽的中医诊疗规范。
结合临床实践,通过中英文献研究、专家咨询等方式制定艾滋病咳嗽中医诊疗问卷,并运用德尔菲法对问卷结果进行统计验证。
问卷内容包括概述、病因、诊断标准、辨证用药(痰热壅肺、肺肾阴虚、肺脾两虚)、调理脾胃(肺)、艾灸治疗及善后护理与饮食及心理等,均值(2.93 - 3.00),满分率(93.10% - 100%),排序均值(9.91 - 10.67)及(287.50 - 309.50)其中最高值,变异系数为0.00,肯德尔系数(Kendalls W)为0.049具有统计学意义,问卷信度值alpha为0.788。
初步规范了艾滋病咳嗽的概念、病因病机、诊断及辨证论治,得到本领域专家基本认可,为制定艾滋病咳嗽规范奠定了中医诊疗基础。