基于改良德尔菲法确定《针灸治疗功能性消化不良临床实践指南》的临床问题和结局指标*
作者：胡欣欣1,2，杨 晨3，张雪萍1,2，马丽欣1,2,4，王倩影1,2，钟卓泰1,2，吴所畏1,2,4，孙巍琪1,2，陈 磊1,2，陈 薇5， 魏 玮1,2，苏晓兰1,2
单位：1.中国中医科学院望京医院，北京 100020； 2.功能性胃肠病中医诊治北京市重点实验室，北京 100020； 3.应急总医院，北京 100028； 4.北京中医药大学研究生院，北京 100105； 5.北京中医药大学循证医学中心，北京 100029
引用：引用：胡欣欣，杨晨，张雪萍，马丽欣，王倩影，钟卓泰，吴所畏，孙巍琪，陈磊，陈薇，魏玮，苏晓兰.基于改良德尔菲法确定《针灸治疗功能性消化不良临床实践指南》的临床问题和结局指标[J].中医药导报,2025,31(10):59-63,107.
DOI：10.13862/j.cn43-1446/r.2025.10.010
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摘要：目的：确定纳入《针灸治疗功能性消化不良临床实践指南》的临床问题和结局指标，为形成本指南的推荐意见奠定基础。方法：基于德尔菲法，结合文献研究和问卷调查，初步拟定18个临床问题和22个结局指标，随后向20名专家组成员进行两轮函询，以积极系数、均分、满分频率、变异系数、权威系数、克朗巴赫系数等进行质量控制。结果：第一轮函询发放20份问卷，积极系数为100%，专家权威系数为0.910。临床问题的克朗巴赫系数为0.940，结局指标的克朗巴赫系数为0.949。第二轮以线上专家共识会议和调查问卷相结合的形式进行，参会专家同第一轮，经专家讨论投票后最终纳入11个临床问题，20个结局指标。结论：通过文献研究与德尔菲法确定《针灸治疗功能性消化不良临床实践指南》的临床问题和结局指标，为后续指南的编纂打下了坚实的基础。
关键词：功能性消化不良；针灸；临床指南；德尔菲法；临床问题；结局指标
Abstract：
Objective: To determine the clinical questions and outcomes included in Clinical Practice Guidelineof Acupuncture and Moxibustion Treatment for Functional Dyspepsia, so as to lay the foundation for forming the recommendations of this guide. Methods: Based on the Delphi method, combined with literature research and questionnaire survey, 18 clinical questions and 22 outcomes were formulated, followed by two rounds of inquiry to 20 expert group members. Quality control using positive coefficient, mean score, full score frequency, coefficient of variation, authority coefficient, Cronbach's coefficient, etc. Results: The first round of inquiry distributed 20 questionnaires, with a positive coefficient of 100% and an expert authority coefficient of 0.910. The Cronbach's coefficient for clinical issues was 0.940, and the Cronbach's coefficient for outcomes was 0.949. The second round was conducted in the form of a combination of online consensus meetings and survey questionnaires. The attending experts were the same as the first round. After expert discussion and voting, 11 clinical questions and 20 outcomes were finally included. Conclusion: The clinical questions and outcomes of Clinical Practice Guidelineof Acupuncture and Moxibustion Treatment for Functional Dyspepsia is determined through literature research and Delphi method, which lays a solid foundation for the compilation of the follow-up guidelines.
Key words：functional Dyspepsia; acupuncture and moxibustion; clinical guideline; Delphi method; clinical questions; outcomes
发布时间：2026-01-08
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