目的:探讨支气管哮喘常见证候及其诊断指标。方法:采用德尔菲法,编制支气管哮喘中医证候特征专家咨询问卷,向全国30位专家发送。回收的资料使用Epidata 3.0版软件建立数据库,运用SPSS 19.0统计软件包进行均数、变异系数及满分比的统计描述及χ^2检验。结果:回收有效问卷25份。专家积极系数为83.33%,权威系数为0.916,协调系数为0.352(χ^2=460.23,P=0.001)。支气管哮喘证候有外寒内饮证、痰浊阻肺证、痰热壅肺证、风痰阻肺证、肺气虚证、肺脾气虚证、肺肾气虚证、肺肾阳虚证、肺肾气阴两虚证、阳气暴脱、血瘀证,并对其诊断指标作了分析。结论:支气管哮喘证候包括实证类4种、虚证类6种、兼证1种,哮喘证候与诊断指标可作为证候诊断标准的依据。
Objective: To discuss the diagnostic criteria for common traditional Chinese medicine syndromes of bronchial asthma based on the second round expert investigation questionnaire. Methods: Delphi method was employed and expert investigation questionnaires about TCM syndromes characteristics of bronchial asthma were sent to 30 experts nationwide. The database of the collected data was established by Epidata 3.0, then the mean, coefficient of variation and full score ratio were described and the χ~2 test was also conducted by SPSS 19.0 statistical software package. Results: Twenty-five valid questionnaires were recovered. The active coefficient of the experts was 83.33%, the authority coefficient was 0.916, and the coordination coefficient was 0.352(χ~2=460.23, P=0.001). Syndromes such as external cold and internal fluid, turbid phlegm obstructing lung, phlegm-heat obstructing lung, wind-phlegm obstructing lung, deficiency of lung qi, qi deficiency of lung and spleen, qi deficiency of lung and kidney, deficiency of lung and kidney yang, deficiency of both qi and yin in lung and kidney, sudden yang collapse and blood stasis were determined and its diagnostic indexes were analyzed. Conclusion: Bronchial asthma included four excess syndromes, six deficiency syndromes and one accompanying syndrome. The syndromes and its diagnosis indexes of bronchial asthma could be used as the basis for syndrome diagnosis criteria.