本文選題：小兒腎病綜合征 + 診療指南��； 參考：《河南中醫(yī)學(xué)院》2012年碩士論文

【摘要】：目的：應(yīng)用專家問卷調(diào)查法即德爾菲（Delphi）法制訂科學(xué)規(guī)范且實用的《小兒腎病綜合征中醫(yī)診療指南》。 方法：在文獻(xiàn)研究的基礎(chǔ)上，采用專家問卷調(diào)查與專家論證會相結(jié)合的方法制訂《小兒腎病綜合征中醫(yī)診療指南》。 專家問卷調(diào)查：在前期文獻(xiàn)計量研究的基礎(chǔ)上，編制第一輪專家調(diào)查問卷，以信函形式向全國范圍內(nèi)遴選出的40位專家發(fā)送問卷。回收的第一輪調(diào)查問卷，采用計算均數(shù)、不重要百分比、等級和、變異系數(shù)的方法進(jìn)行統(tǒng)計分析并評價專家意見的集中程度與協(xié)調(diào)程度，提出評價體系的各項指標(biāo)，即第二輪專家調(diào)查問卷。將第二輪問卷寄送給專家，，再次統(tǒng)計分析回收的問卷，加入部分專家不同意預(yù)測結(jié)果的意見，形成第三輪問卷即《小兒腎病綜合征中醫(yī)診療指南》初稿。將第三輪問卷寄送給專家，回收整理專家意見，完善《小兒腎病綜合征中醫(yī)診療指南》的初稿。 專家論證會：邀請國內(nèi)著名中醫(yī)兒科專家，召開專家論證會。提交《小兒腎病綜合征中醫(yī)診療指南》初稿，請專家們發(fā)表修改意見，最終形成《小兒腎病綜合征中醫(yī)診療指南》。 結(jié)果：以文獻(xiàn)研究為基礎(chǔ)，共編制三輪專家問卷，進(jìn)行三輪專家問卷調(diào)查，并通過專家論證會的論證，綜合專家意見，成功制訂出了較為科學(xué)規(guī)范且實用的《小兒腎病綜合征中醫(yī)診療指南》。 結(jié)論：本研究是將循證醫(yī)學(xué)原理應(yīng)用于中醫(yī)標(biāo)準(zhǔn)化工作中的一次實踐和探索，印證了循證醫(yī)學(xué)原理在中醫(yī)標(biāo)準(zhǔn)化工作中的可行性，并對該原理加以改進(jìn)使之完善，使之更適用于中醫(yī)標(biāo)準(zhǔn)化工，為以后其他疾病診療指南的制訂提供了行之有效的研究思路和方法，為中醫(yī)標(biāo)準(zhǔn)化工作的進(jìn)展做出重要貢獻(xiàn)。
[Abstract]:Objective: to establish a scientific and practical guide for the diagnosis and treatment of pediatric nephrotic syndrome by means of expert questionnaire (Delphi). Methods: on the basis of literature study, the method of expert questionnaire and expert demonstration was used to formulate the guidelines for the diagnosis and treatment of Pediatric Nephrotic Syndrome. Expert questionnaire: based on the previous literature, the first round of expert questionnaire was compiled, and the questionnaire was sent to 40 experts selected in the whole country in the form of letter. In the first round of the questionnaire, the method of calculating the mean, the unimportant percentage, the rank and the coefficient of variation is used to carry out the statistical analysis and evaluate the degree of concentration and coordination of the expert opinion, and the indexes of the evaluation system are put forward. That is, the second round of expert questionnaires. The second round of questionnaire was sent to the experts, and the collected questionnaire was analyzed again, and some experts disagreed with the predicted results, and formed the first draft of the third round of questionnaire, namely, "guidelines for the diagnosis and treatment of Pediatric Nephrotic Syndrome". The third round of questionnaire was sent to experts, and the first draft of TCM guidance for diagnosis and treatment of Pediatric Nephrotic Syndrome was improved. Expert demonstration meeting: invite famous Chinese medicine pediatrics experts to hold expert demonstration meeting. The first draft of the guidelines for the diagnosis and treatment of Pediatric Nephrotic Syndrome is submitted, and experts are invited to make a revised opinion so as to form the guidelines for the diagnosis and treatment of Pediatric Nephrotic Syndrome. Results: on the basis of literature research, three rounds of expert questionnaires were compiled, three rounds of expert questionnaires were conducted, and the expert opinions were synthesized through the argumentation of the expert argumentation meeting. A scientific and practical guide for the diagnosis and treatment of pediatric nephrotic syndrome was developed successfully. Conclusion: this study is a practice and exploration of applying the principle of evidence-based medicine to the standardization of traditional Chinese medicine, which confirms the feasibility of the principle of evidence-based medicine in the work of standardization of traditional Chinese medicine, and improves the principle to make it perfect. Making it more suitable for the standard chemical industry of traditional Chinese medicine (TCM) provides effective research ideas and methods for the future guidelines for the diagnosis and treatment of other diseases and makes an important contribution to the progress of the standardization of TCM.
【學(xué)位授予單位】：河南中醫(yī)學(xué)院
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2012
【分類號】：R272

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