主 办:北 京 中 医 药 大 学
ISSN 1006-2157 CN 11-3574/R

北京中医药大学学报 ›› 2019, Vol. 42 ›› Issue (5): 436-440.doi: 10.3969/j.issn.1006-2157.2019.05.013

• 临床研究 • 上一篇    

名义群体法在《疲劳性亚健康的判定及中医证候辨识》标准制定中的应用*

李红琼1, 王天芳1#, 薛晓琳1, 费宇彤1, 赵丽红1, 赵燕1, 吴秀艳1, 孙涛2, 魏育林3   

  1. 1 北京中医药大学中医学院 北京 100029;
    2 北京市中和亚健康科学研究院;
    3 中日友好医院
  • 收稿日期:2019-01-23 出版日期:2019-05-30 发布日期:2019-06-05
  • 通讯作者: 王天芳, 女, 博士, 教授, 博士生导师, 研究方向:中医药标准化, E-mail:tianfangwang2000@163.com
  • 作者简介:李红琼,女,在读硕士生
  • 基金资助:
    *国家中医药管理局中医药标准化项目(No.ZYYS-2008-0028),北京中医药大学纵向科研发展基金项目(No.2016-ZXFZJJ-021)

Application of nominal group technique in criterion establishment of “Fatigue-Prominent Suboptimal Health Status Determination and TCM Pattern Differentiation*

Li Hongqiong1, Wang Tianfang1#, Xue Xiaolin1, Fei Yutong1, Zhao Lihong1, Zhao Yan1, Wu Xiuyan1, Sun Tao2, Wei Yulin3   

  1. 1 School of Traditional Chinese Medicine Beijing University of Chinese Medicine, Beijing 100029, China;
    2 Zhonghe Sub-health Service Center, Beijing 100027, China;
    3 China-Japan Friendship Hospital, Beijing 100029, China
  • Received:2019-01-23 Online:2019-05-30 Published:2019-06-05
  • Contact: Prof. Wang Tianfang, Ph.D., Doctoral supervisor. Beijing University of Chinese Medicine, No. 11, Beishanhuan Donglu Road, Chaoyang District, Beijing 100029. E-mail: tianfangWang2000@163.com

摘要: 目的 基于名义群体法(NGT)建立《疲劳性亚健康的判定及常见中医证候辨识》标准。方法 系统检索、梳理疲劳性亚健康的相关文献,归纳疲劳性亚健康的相关定义、判定标准及中医辨证的研究进展,初步形成标准草案的框架与内容,并运用NGT法就标准草案框架和具体内容进行共识。结果 运用NGT法基本达成共识,共识内容包括3个部分。第一,疲劳性亚健康定义:以疲劳为主要表现的亚健康状态。第二,疲劳性亚健康的判定标准:符合亚健康的判定标准,以疲劳为主诉,持续或反复出现3个月及以上,躯体疲劳、精神疲劳、疲劳后果及总体疲劳中任意一项达到轻度及以上者。第三,疲劳性亚健康的常见中医证候:肝气郁结证、脾气虚证、脾阳虚证、肺气虚证、肝郁脾虚证、脾虚湿阻证、心血虚证及痰湿内阻证。结论 本研究运用NGT法确立疲劳性亚健康的定义、判定标准及常见中医证候,避免权威势力,使每个参与者平等参与并诉说自己的思想,具有可行性与客观性。

关键词: 名义群体法, 疲劳性亚健康, 证候, 标准

Abstract: Objective To establish the criterion for the determination of fatigue-prominent suboptimal health status and common TCM pattern differentiation based on nominal group technique (NGT). Methods The literatures related to fatigue-prominent suboptimal health status were retrieved and sorted systematically, and research progresses in relative definitions, determination standards and TCM pattern differentiation were summarized. The framework and content of the draft standard of “Fatigue-Prominent suboptimal Health Status Determination and TCM Pattern Differentiation” were preliminarily formed, and consensus on the framework and content was reached by using NGT. Results The consensus was basically reached by using NGT and there were 3 parts in the content including 1.Definitions of fatigue-prominent suboptimal health status: subhealth status with fatigue as main manifestation. 2.Determination criteria of fatigue-prominent suboptimal health status: ①meeting the criteria of subhealth; ②fatigue being the main complaint and continuing for 3 months or longer, and physical fatigue, mental fatigue, fatigue consequences or general fatigue being mild or above. 3.Common TCM patterns of fatigue-Prominent suboptimal Health Status: liver qi depression pattern, spleen qi deficiency pattern, spleen yang deficiency pattern, lung qi deficiency pattern, pattern of liver depression and spleen deficiency, pattern of spleen deficiency with dampness obstruction, heart blood deficiency pattern and pattern of internal obstruction of phlegm-dampness. Conclusion NGT is applied in this study to establish the definition, determination criterion and common TCM patterns of fatigue-prominent subopimal heaeth statas The authoritative forces are avoided and every participator can equally express their own ideas. The criterion is feasible and objective .

Key words: nominal group technique, fatigue-prominent subopimal health status, pattern, criterion

中图分类号: 

  • R241.6