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目的:应用Delphi法对儿童多发性抽动症脾虚痰聚证证候指标进行筛选以制定儿童多发性抽动症中医诊疗指南。方法:以文献资料为基础,确立儿童多发性抽动症脾虚痰聚证证候备选指标制定问卷,采用Delphi法对40名专家进行两轮问卷调查,并对问卷结果进行分析。结果:两轮问卷专家积极系数(回收率)分别为90%、100%;第一轮问卷中45个备选指标结果显示,删除19个,余26个,合并8个为3个,拆分1个为3个,增加1个,余24个;第二轮问卷中在24个备选指标中眨眼等12项指标的均数大于1.5,不重要百分比小于0.5,变异系数小于0.4。结论:Delphi法筛选儿童多发性抽动症脾虚痰聚证证候指标具有实用价值。
Objective: To screen the index of phlegm and accumulating syndrome syndrome of spleen deficiency syndrome in children with multiple twitch syndrome by Delphi method to make the guideline of TCM diagnosis and treatment for children with multiple tic. Methods: Based on the literature data, a questionnaire was established for the selection index of syndromes of phlegm and accumulating phlegm in children with multiple twitching syndrome. Two experts were investigated by Delphi in two rounds and the results of the questionnaire were analyzed. Results: The positive coefficients (recovery rates) of two questionnaires were 90% and 100% respectively. The results of the 45 alternative indicators in the first round of questionnaires showed that 19 and more than 26 were deleted and 3 and 8 were merged. The resolution 1 for 3, an increase of more than 24; the second round of questionnaires blink in 24 indicators such as 12 indicators of the average number is greater than 1.5, the important percentage is less than 0.5, the coefficient of variation of less than 0.4. Conclusion: Delphi method for screening children with multiple tic syndrome spleen phlegm syndrome card index has practical value.