国际生殖健康/计划生育杂志

国际生殖健康/计划生育杂志 ›› 2025, Vol. 44 ›› Issue (1): 15-20.doi: 10.12280/gjszjk.20240477

• 论著 • 上一篇    下一篇

基于德尔菲法确定《子宫内膜异位症中西医结合诊疗指南》的临床问题

石举梅, 赵婷玉, 杨新春, 张玉, 徐冉, 孙伟伟, 赵瑞华()   

  1. 100053 北京，中国中医科学院广安门医院妇科
  • 收稿日期:2024-09-29 出版日期:2025-01-15 发布日期:2025-01-22
  • 通讯作者: 赵瑞华，E-mail：zhaoruihua@gamyy.cn E-mail:zhaoruihua@gamyy.cn
  • 基金资助:
    中国中医科学院创新工程项目(CI2021A02401);中医药传承与创新“百千万”人才工程（岐黄工程）岐黄学者资助项目(国中医药人教函〔2018〕284号)

Determination on Clinical Questions of the Guidelines for Diagnosis and Treatment of Endometriosis with Integrated Traditional Chinese and Western Medicine Based on Delphi Method

SHI Ju-mei, ZHAO Ting-yu, YANG Xin-chun, ZHANG Yu, XU Ran, SUN Wei-wei, ZHAO Rui-hua()   

  1. Department of Gynecology, Guang′anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 100053, China
  • Received:2024-09-29 Published:2025-01-15 Online:2025-01-22
  • Contact: ZHAO Rui-hua, E-mail: zhaoruihua@gamyy.cn E-mail:zhaoruihua@gamyy.cn

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摘要：

目的：指南工作组严格遵循指南制定规范，构建《子宫内膜异位症中西医结合诊疗指南》（以下简称“指南”）临床问题，便于指导指南后续工作。方法：在前期文献研究、专家访谈、初步调研的基础上，按照临床问题PICO化构建原则编制专家问卷，通过两轮德尔菲法确定本指南临床问题。结果：两轮德尔菲法分别向34名专家发放问卷，回收率均100%，专家积极系数为100%，权威系数均为0.934，变异系数分别为0%~37%及16%~37%，Kendall协调系数分别为0.177及0.105（均P<0.05）。两轮德尔菲法共有30个临床问题达成共识，经指南工作组专家讨论并将部分临床问题进行合并凝练后，最终纳入9个临床问题。结论：总结了子宫内膜异位症临床当下关注度最高的临床问题，通过两轮德尔菲法调查确定了需要纳入本指南的临床问题，为指南的后续制定工作奠定了良好的基础。

关键词: 德尔菲技术, 子宫内膜异位症, 中西医结合, 诊疗指南

Abstract:

Objective: The guideline working group strictly followed the guideline formulation norms to construct the clinical problems of the Guidelines for Diagnosis and Treatment of Endometriosis with Integrated Traditional Chinese and Western Medicine (hereinafter referred to as the "Guideline"), so as to facilitate the follow-up work of the guideline. Methods: On the basis of previous literature, expert interview and preliminary investigation, expert questionnaires were compiled according to the principle of PICO construction of clinical questions, and clinical questions were determined by two rounds of Delphi method. Results: Two rounds of Delphi method were used to send questionnaires to 34 experts. The recovery rate was 100%, and the positive coefficient of experts was 100%. The authority coefficient was 0.934, and the coefficients of variation were 0%-37% and 16%-37%. The Kendall coordination coefficient was 0.177 and 0.105 (both P<0.05). A total of 30 clinical issues reached consensus in the two rounds of Delphi method, and after discussion by experts in the guideline working group and consolidation of some clinical issues, 9 clinical issues were finally included. Conclusions: This study summarized the clinical problems with the highest concern in endometriosis clinical practice, and identified those clinical problems that need to be included in this guideline through two rounds of Delphi method investigation, which is a good foundation for the subsequent formulation of the guideline.

Key words: Delphi technique, Endometriosis, Integrated traditional Chinese medicine &, Western medicine, Diagnostic and treatment guideline