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目的筛选和评价中医儿科专家对《中医儿科诊疗指南·流行性腮腺炎》草稿框架以及诊疗意见的集中程度与协调程度,修订科学实用的《中医儿科诊疗指南·流行性腮腺炎》。方法采用德尔菲法,在文献研究总结及第一轮问卷调查反馈的基础上制定第二轮专家调查问卷(内容包括术语和定义、诊断、辨证、辨证要点、治疗、预防和调护),向全国17省36位专家进行问卷调查,采用专家积极系数、专家意见集中程度(均数、等级和、不重要百分比)、专家意见协调程度(变异系数)对问卷进行统计分析。结果调查问卷收回有效问卷36份,回收率100%。专家对于流行性腮腺炎(修订)草稿中大部分指标意见的集中程度和协调程度较高,中药注射剂部分意见集中程度偏低,变异性较大,未达成共识。结论专家的积极性和专业水平均较高,分布地区广,具有代表性,《中医儿科诊疗指南·流行性腮腺炎(修订)》框架涉及的条目基本得到专家的认可。
Objective To screen and evaluate the degree of concentration and coordination of Chinese pediatric experts on the draft framework and diagnosis and treatment of “Guidelines for the Treatment of Pediatric Clinics and Mumps” and to revise the scientific and practical guidelines for the treatment of pediatric mumps and mumps. Methods Based on the literature review and the feedback from the first round of questionnaires, Delphi method was used to establish a second round of questionnaires (including terms and definitions, diagnosis, syndrome differentiation, dialectical points, treatment, prevention and adjustment) Thirty-six experts in 17 provinces conducted a questionnaire survey. The questionnaire was statistically analyzed with the positive coefficient of experts, the degree of concentration of experts (mean, grade, and not significant percentage) and the degree of coordination of experts (coefficient of variation). Results Questionnaires 36 valid questionnaires were collected and the recovery rate was 100%. Experts focus on most of the indicators in the draft for mumps (Revised) draft, with a high degree of concentration and coordination. Some opinions on traditional Chinese injections have low concentration and large variability and no consensus has been reached. Conclusions The experts are both motivated and professionally skilled. They are widely distributed and representative. The entries covered in the “Guide to Chinese Pediatrics and Mumps (Revised)” have basically been approved by experts.