| 引用本文:茹淑瑛，叶永安.基于德尔菲法的慢性乙型肝炎（ALT≥2ULN）证候诊断标准的调查分析[J].世界中医药,2015,10(09):. |
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| 基于德尔菲法的慢性乙型肝炎（ALT≥2ULN）证候诊断标准的调查分析 |
| Research on Syndrome Diagnosis Criteria for Chronic Hepatitis B (ALT≥2ULN) by Delphi Approach |
| 投稿时间：2015-08-20 |
| DOI：10.3969/j.issn.1673-7202.2015.09.008 |
| 中文关键词: 慢性乙型肝炎 德尔菲法 诊断标准 |
| English Keywords:Chronic hepatitis B Delphi approach Diagnostic criteria |
| 基金项目:国家“十一五”重大传染病防治专项课题(编号：2008ZX10005-006) |
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| 中文摘要: |
| 目的：运用德尔菲法进行专家咨询，探讨慢性乙型肝炎（ALT≥2ULN）的常见证候诊断标准。方法：在1 003例临床资料基础上，通过数据挖掘，对全国肝病专家进行4轮咨询调查，从慢乙肝常见证型、主次症、诊断标准等方面进行咨询。结果：专家积极系数为100%，专家权威程度分别为0.94、0.945。结论：该病常见的单一证型有肝郁脾虚证、肝胆湿热证、肝血瘀阻证、肝肾阴虚证、脾虚湿困证。各证型的诊断标准有3～4种主次症的不同组合。 |
| English Summary: |
| This study aims to investigate the common syndromes diagnosis criteria for chronic hepatitis B (ALT≥2ULN) in Delphi approach. Methods： Based on 1 003 previous cases that were publicized in “National 15 Major Pesearch Projects” in China， the study collected data and used Delphi approach to consult liver experts all over the country， including chronic hepatitis B common syndromes， primary and secondary symptoms， diagnostic criteria， etc. Results： Active coefficient of the experts was 100%， and their authority coefficient were 0.94 and 0.945. Conclusion： The common single syndromes of chronic hepatitis B includes liver stagnation and spleen deficiency， dampness-heat of liver and gallbladder， liver blood stasis， yin deficiency of liver and kidney， spleen deficiency and dampness. The diagnostic criteria of each syndrome combines 3 to 4 main and secondary symptoms. |
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