斑块型银屑病（血瘀证）铜砭刮痧方案的构建*

作者：徐若馨1，蒋谷芬2，谢冰婵1，曹彩虹1，何 花2，高 娟2

单位：1.湖南中医药大学护理学院，湖南 长沙 410208； 2.湖南中医药大学第二附属医院，湖南 长沙 410005

引用：引用：徐若馨，蒋谷芬，谢冰婵，曹彩虹，何花，高娟.斑块型银屑病（血瘀证）铜砭刮痧方案的构建[J].中医药导报,2025,31(2):90-93,106.

DOI：10.13862/j.cn43-1446/r.2025.02.017

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摘要：目的：构建针对斑块型银屑病（血瘀证）患者的铜砭刮痧方案。方法：检索中国知网、万方数据库、维普数据库、中国生物医学文献数据库、PubMed、Web of Science从建库至2023年7月1日的相关文献，通过文献研究法确定斑块型银屑病（血瘀证）铜砭刮痧方案的初稿，遴选来自北京市、天津市、南京市、郑州市、石家庄市、长沙市、衡阳市、重庆市、西安市、武汉市、金华市的18名专家进行两轮问卷函询。结果：两轮专家积极系数均为100.0%，权威程度为0.920，协调系数分别为0.465、0.479，经χ2检验，差异均有统计学意义（P＜0.001）。最终形成斑块型银屑病（血瘀证）铜砭刮痧方案，包括2个一级指标、15个二级指标、29个三级指标。结论：本研究构建的方案有一定科学性和可操作性，可为斑块型银屑病（血瘀证）患者进行铜砭刮痧治疗提供参考。

关键词：斑块型银屑病；血瘀证；铜砭刮痧；德尔菲法

Abstract：

Objective: To develop a copper-bian scraping scheme for patients with plaque psoriasis (blood stasis syndrome). Method: Retrieve relevant literature from CNKI, Wanfang Database, VIP Database, China Biomedical Literature Database, PubMed, and Web of Science from the establishment of the database until July 1, 2023. Then, determine the initial draft of the copper-bian scraping scheme for plaque psoriasis (blood stasis syndrome) through literature research. Finally, select 18 experts from Beijing, Tianjin, Nanjing, Zhengzhou, Shijiazhuang, Changsha, Hengyang, Chongqing, Xi'an, Wuhan and Jinhua for two rounds of questionnaire inquiry. Results: The positive coefficient of experts in both rounds was 100.0%, the degree of authority was 0.920, and the coordination coefficient was 0.465 and 0.479, respectively. The differences were statistically significant by χ2 test (P<0.001). The final form of plaque psoriasis (blood stasis syndrome) copper-bian scraping program, including 2 primary indicators, 15 secondary indicators, 29 tertiary indicators. Conclusion: The protocol established in this study is scientific and operable, and can provide reference for the treatment of copper-bian scraping in patients with plaque psoriasis (blood stasis syndrome).

Key words：plaque psoriasis; blood stasis syndrome; copper-bian scraping; Delphi process

发布时间：2025-12-08

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