世界中医药

目的：制订窦道中医诊疗指南。方法：在文献调研的基础上，编制《窦道中医诊疗指南》专家调查问卷，采用德尔菲(Delphi)法，对35名专家进行两轮问卷调查，并对问卷结果进行统计分析。结果：两轮问卷专家积极系数（回收率）分别为94.59％、100%；窦道证型指标中，余毒未清证、气血两虚证的均数、满分比高，变异系数小；辅助检查的指标中疮面窦道探查、B超检查、窦道CT造影+三维重建的均数、满分比高，变异系数小；外治法的指标中药线引流法、滴灌法、窦道切除缝合术、纱条引流法四种外治法的专家集中程度和协调程度较高。结论：运用德尔菲法评价和筛选窦道中医诊疗指南的指标框架，使专家对于窦道的诊治意见逐渐达成共识，为建立临床实用、科学的窦道中医诊疗指南奠定基础。

English Summary:

To establish the guidelines for TCM diagnosis and treatment of sinus. Methods： Based on the literature investigation, the expert questionnaire of sinus guideline for TCM diagnosis and treatment was drew up by Delphi method, and two rounds of questionnaire survey to 35 experts were conducted, and the results were analyzed statistically. Results： The positive coefficient of the two rounds of questionnaire of experts (recovery) were 94.59% and 100% respectively. Among the sinus syndrome indicators, the mean and full mark ratio of Qi and blood deficiency were high, and the coefficient of variation was small; as for the auxiliary examination index, the mean and full mark ratio of sinus exploration, B ultrasound examination, sinus CT angiography and 3D reconstruction were high, and the coefficient of variation was small; in the External treatment index, the expert concentration degree and coordination degree of the medicine line drainage, irrigation method, fistula resection and suture operation were high. Conclusion： Using index framework of Delphi for evaluation and screening of sinus TCM diagnosis and treatment guidelines has gradually reach a consensus among experts, which lays a foundation for establishing clinically practical and scientific sinus guidelines for TCM diagnosis and treatment.

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