基于德尔菲法的儿童过敏性鼻炎-哮喘综合征中医治疗方案研究*

作者：荀春铮1,2，朱镇华1,2，王孟清1,2，曾庆佳2，马月湘2，杨 惠2，兰 春2，李凡鹏1

单位：1.湖南中医药大学，湖南 长沙 410208； 2.湖南中医药大学第一附属医院，湖南 长沙 410007

引用：引用：荀春铮，朱镇华，王孟清，曾庆佳，马月湘，杨惠，兰春，李凡鹏.基于德尔菲法的儿童过敏性鼻炎-哮喘综合征中医治疗方案研究[J].中医药导报,2026,32(1):129-135,139.

DOI：10.13862/j.cn43-1446/r.2026.01.022

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摘要：目的：构建儿童过敏性鼻炎-哮喘综合征（CARAS）的中医治疗方案。方法：检索中国知网、万方、维普、中国生物医学文献数据库、PubMed从建库至2023年2月28日关于儿童CARAS的相关文献，纳入分期与中医证型、治法与方药、常用中成药等相关内容，拟定儿童CARAS的中医治疗方案初稿，遴选来自全国各地的28名专家进行三轮问卷函询。结果：共发放三轮问卷，第一轮问卷回收率为93.33%（28/30），第二、三轮问卷回收率均为100%（28/28），专家积极系数高，对于本研究的关注度和配合度很高；三轮问卷参与专家的权威系数均≥0.70，说明专家意见较为可靠。第一、二轮纳入CV＜0.3且均值＞1.5的条目，第三轮纳入CV＜0.3且均值＞0.7的条目，最终构建了儿童CARAS的中医治疗方案。结论：本研究构建的方案有一定科学性和可操作性，可为中医治疗儿童CARAS的分期、辨证和治疗用药提供参考。

关键词：儿童过敏性鼻炎-哮喘综合征；德尔菲法；辨证论治；分期治疗；治疗方案；专家共识

Abstract：Objective: To construct a TCM treatment plan for pediatric allergic rhinitis-asthma syndrome (CARAS) using the Delphi method. Methods: Relevant literature on CARAS was retrieved from databases including CNKI, Wanfang, VIP, CBM, and PubMed from their inception to February 28, 2023. Information on staging, TCM syndrome differentiation, treatment principles, herbal prescriptions, and commonly used Chinese patent medicines was extracted to formulate a preliminary draft of the TCM treatment plan for CARAS. Twenty-eight experts from across the country were selected to participate in three rounds of questionnaire surveys. Results: Three rounds of questionnaires were distributed. The response rates were 93.33% (28/30) for the first round and 100% (28/28) for the second and third rounds, indicating high expert engagement. The authority coefficients of the participating experts in all three rounds were ≥0.70, demonstrating reliable opinions. In the first and second rounds, items with a coefficient of variation (CV) <0.3 and a mean score >1.5 were included; in the third round, items with CV <0.3 and mean score >0.7 were included. Ultimately, a TCM treatment plan for CARAS was established. Conclusion: The treatment plan developed in this study demonstrates scientific validity and practicality, providing a reference for the staging, syndrome differentiation, and TCM treatment of CARAS in children.

Key words：pediatric allergic rhinitis-asthma syndrome; Delphi method; syndrome differentiation and treatment; staging treatment; treatment plan; expert consensus

发布时间：2026-01-30

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