论文部分内容阅读
目的:初步建立起中医药治疗肝炎后肝硬化疗效评价指标体系,并在此基础上,探索出一套建立有中医特色的临床疗效评价指标体系的方法。方法:本研究采用Delphi专家咨询法建立指标体系,通过问卷调查的方式,对符合遴选标准的36位来自5个省市的相关专家,分两轮开展专家咨询。运用统计学分析及结合专家意见对指标进行筛选;采用Delphi法和百分权重法计算指标的权重系数。结果:确立包含3个层次共52项中医药治疗肝炎后肝硬化疗效评价指标,其中传统的中医证候指标、传统西医疗效指标、生存质量指标和并发症的发生率4项一级指标的权重系数分别为0.2649、0.2602、0.2354和0.2395。结论:初步建立了肝炎后肝硬化疗效评价指标体系,该体系包括中医证候疗效指标、传统西医疗效指标、生存质量指标和并发症的发生率等4个方面。且在此次研究中专家积极可靠,指标筛选过程比较规范,指标比较全面、可靠,可用于实践进一步检验与完善。
OBJECTIVE: To establish an index system for evaluating the therapeutic effect of traditional Chinese medicine (TCM) on posthepatitic cirrhosis, and on this basis, explore a set of methods to establish a clinical efficacy evaluation index system with TCM characteristics. Methods: In this study, Delphi expert consultation method was used to establish the index system. Through questionnaire survey, 36 experts from 5 provinces and cities that met the selection criteria were consulted in two rounds. Use statistical analysis and expert advice to screen the indicators; using Delphi method and the percentage weight method to calculate the index weight coefficient. Results: The evaluation index of efficacy in treating posthepatitic cirrhosis including 52 traditional Chinese medicine in three levels was established. Among them, the weight of the four first-level indicators of the traditional Chinese medicine syndrome index, the traditional Western medicine curative effect index, the quality of life index and the complication rate The coefficients are 0.2649, 0.2602, 0.2354 and 0.2395, respectively. Conclusion: The initial evaluation index system of post-hepatitis cirrhosis efficacy is established. The system includes four aspects: efficacy index of traditional Chinese medicine syndrome, traditional western medicine efficacy index, quality of life index and the incidence of complications. In addition, experts in this study are positive and reliable, and the index screening process is relatively standardized. The indexes are relatively comprehensive and reliable, and can be used for further examination and improvement in practice.