Establishment of diagnostic criteria for liver qi stagnation syndrome in psoriasis vulgaris based on literature review and Delphi method

XIE Xiuli; LUO Ya; LI Hui; LU Chuanjian

doi:10.16305/j.1007-1334.2024.2404081

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Establishment of diagnostic criteria for liver qi stagnation syndrome in psoriasis vulgaris based on literature review and Delphi method

更新时间：2024-11-07

- Establishment of diagnostic criteria for liver qi stagnation syndrome in psoriasis vulgaris based on literature review and Delphi method
- Shanghai Journal of Traditional Chinese Medicine Vol. 58, Issue 11, Pages: 13-20(2024)
- 作者机构：
  
  1.广州中医药大学第二附属医院（广东省中医院）中医药标准化重点研究室（广东广州 510120）
  2.省部共建中医湿证国家重点实验室（广东广州 510120）
  3.广东省中医药防治难治性慢病重点实验室（广东广州 510120）
  4.重庆中医药学院针灸推拿学院（重庆 402760）
  5.中医证候全国重点实验室（广东广州 510120）
- 作者简介：
- 基金信息：
- DOI：10.16305/j.1007-1334.2024.2404081
  CLC：
- Published：10 November 2024，
  
  Received：17 April 2024，
- 稿件说明：
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谢秀丽,罗亚,李慧,等.基于文献研究及德尔菲法的寻常型银屑病肝气郁结证诊断标准的建立[J].上海中医药杂志,2024,58(11):13-20.

XIE Xiuli,LUO Ya,LI Hui,et al.Establishment of diagnostic criteria for liver qi stagnation syndrome in psoriasis vulgaris based on literature review and Delphi method[J].Shanghai Journal of Traditional Chinese Medicine,2024,58(11):13-20.
谢秀丽,罗亚,李慧,等.基于文献研究及德尔菲法的寻常型银屑病肝气郁结证诊断标准的建立[J].上海中医药杂志,2024,58(11):13-20. DOI： 10.16305/j.1007-1334.2024.2404081.

XIE Xiuli,LUO Ya,LI Hui,et al.Establishment of diagnostic criteria for liver qi stagnation syndrome in psoriasis vulgaris based on literature review and Delphi method[J].Shanghai Journal of Traditional Chinese Medicine,2024,58(11):13-20. DOI： 10.16305/j.1007-1334.2024.2404081.

摘要

目的

调查专家对寻常型银屑病肝气郁结证的证候诊断经验，筛选该证候的诊断指标，评价其重要性，形成本病证候诊断标准。

方法

在文献研究的基础上，通过德尔菲法对全国32位专家进行4轮问卷调查，分析专家意见集中程度及协调程度，第4轮根据权重将各诊断指标分为主症及次症，形成肝气郁结证诊断标准。

结果

基于文献研究，共有27个证候诊断备选条目进入备选条目池。根据专家意见集中程度、协调程度对各证候诊断指标进行筛选，形成诊断指标19个，经同类合并，形成主症3个、次症7个。专家认可度较高的诊断标准判断条件选项为2个。

结论

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。经过4轮调查，形成寻常型银屑病肝气郁结证的诊断标准。

Abstract

Objective

To investigate the diagnostic experience of experts in identifying the syndrome of liver qi stagnation in psoriasis vulgaris， select diagnostic indicators for this syndrome， evaluate their importance， and establish diagnostic criteria for liver qi stagnation syndrome in psoriasis vulgaris.

Methods

Based on literature research， a four-round Delphi survey was conducted with 32 national experts， analyzing the concentration and coordination of expert opinions. In the fourth round， diagnostic indicators were categorized as primary or secondary symptoms based on their weighted importance to form the diagnostic criteria for liver qi stagnation syndrome.

Results

Based on literature research， 27 potential diagnostic entries for the syndrome were initially identified. Based on the concentration and coordination of expert opinions， 19 diagnostic indicators were finalized and categorized into 3 primary and 7 secondary symptoms. There were two diagnostic criteria with high expert recognition.

Conclusions

The enthusiasm and professionalism of the experts were high， credibility of opinions was strong， and the level of coordination was substantial. After four rounds of surveys， diagnostic criteria for liver qi stagnation syndrome in psoriasis vulgaris were established.

关键词

银屑病中医证候肝气郁结证诊断标准德尔菲法中医标准化

Keywords

psoriasis vulgaristraditional Chinese medicine syndromeliver qi stagnation syndromediagnostic criteriaDelphi methodtraditional Chinese medicine standardization

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