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

JOURNAL OF BEIJIGN UNIVERSITY OF TRADITIONAL CHINE ›› 2016, Vol. 39 ›› Issue (11): 955-960.doi: 10.3969/j.issn.1006-2157.2016.11.013

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TCM patterns types and indicators of thyroid cancer by Delphi method:an investigation

WANG Zhiqiao1, ZHOU Yu2, GUAN Qingqing3, XIA Zhongyuan3#   

  1. 1 Nanjing Integrated Traditional Chinese and Western Medicine Hospital, Nanjing University of Chinese Medicine, Jiangsu 210014;
    2 Beijing University of Chinese Medicine;
    3 China-Japan Friendly Hospital
  • Received:2016-06-06 Online:2016-11-30 Published:2016-11-30

Abstract: Objective To use Delphi method to decide the TCM pattern types and indicators of thyroid cancer, so as to provide reference and basis for TCM clinical practice. Methods Based on the literature retrieving and TCM theory, two-round Questionnaire of TCM Patterns of Thyroid Cancer were drafted, and more than 30 experts answered the questionnaires in two rounds. The questionnaires were consisted of criterion of importance and familiarity of TCM Syndromes and tables of thyroid cancer, TCM pattern classification of pre-operation and post-operation, standard of TCM pattern decision. Then the two-round questionnaires were screened and analyzed,and the experts consensus of TCM patterns of thyroid cancer was initially established.Results In the first round, 33 questionnaire were returned with the positive coefficient of 100%, and 36 were returned in the second round, with the positive coefficient of 92.31%. Cronbaeh’s α coefficient of the first-round was only 0.297. After modification and revision, Cronbaeh’s α coefficient of the first-round increased to 0.696, a higher questionnaire reliability than the first round. Kendall’s coefficient of concordance(W) of the first-round was 0.214 as well as that of the second-round 0.382, which showed the experts converged towards the results. The process was stopped. TCM patterns of thyroid cancer were decided as stagnation due to phlegm and blood, stagnation of liver qi, deficiency of yin due to stagnantion of heat, deficiency of both vital qi and yin, deficiency of both vital qi and blood, the type of yang deficiency of the spleen and kidney. Stagnation due to phlegm and blood can mostly be observed in preoperative patients,while deficiency of both vital qi and yin can mostly be observed in postoperative patients.Conclusion The establishment of experts consensus of TCM patterns of thyroid cancer has a positive significance of promoting the standardization of pattern differentiation and clinical diagnosis and treatment.

Key words: Delphi method, thyriod cancer, pattern study, TCM

CLC Number: 

  • R273.61