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Expert Consensus of Syndrome Differentiation for Phlegm Turbidity Syndrome for Coronary Heart Disease

OBJECTIVE: The purpose of the study was to form a questionnaire of expert consensus about phlegm turbidity syndrome of coronary heart disease (CHD) using literature method and Delphi method, which could provide the objective evidences for the clinical diagnosis and treatment for CHD. METHOD: The CBM...

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Autores principales: Chen, Xin-lin, Liu, Xiao-qi, Xie, Rong, Peng, Dan-hong, Wang, Yan-ping, Zhou, Xuan, Wang, Bin, Mo, Chuan-wei, Xu, Qian, Li, Xiantao
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6304606/
https://www.ncbi.nlm.nih.gov/pubmed/30622612
http://dx.doi.org/10.1155/2018/8184673
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author Chen, Xin-lin
Liu, Xiao-qi
Xie, Rong
Peng, Dan-hong
Wang, Yan-ping
Zhou, Xuan
Wang, Bin
Mo, Chuan-wei
Xu, Qian
Li, Xiantao
author_facet Chen, Xin-lin
Liu, Xiao-qi
Xie, Rong
Peng, Dan-hong
Wang, Yan-ping
Zhou, Xuan
Wang, Bin
Mo, Chuan-wei
Xu, Qian
Li, Xiantao
author_sort Chen, Xin-lin
collection PubMed
description OBJECTIVE: The purpose of the study was to form a questionnaire of expert consensus about phlegm turbidity syndrome of coronary heart disease (CHD) using literature method and Delphi method, which could provide the objective evidences for the clinical diagnosis and treatment for CHD. METHOD: The CBM, CNKI, VIP, and PubMed were searched. The articles about phlegm turbidity syndrome for CHD with the definite related four diagnostic data were included. Based on the results of the literature method, two rounds of Delphi method were conducted. The TCM experts about CHD were enrolled. Concentration and coordination index of the experts were used to select the items. RESULTS: Literature method: A total of 118 articles were included. Greasy fur, slippery pulse, chest fullness or chest pain, anorexia, nausea and vomiting, vertigo, excessive phlegm, abdominal fullness, head heaviness, obesity, stringy pulse, physical heaviness, soft pulse, somnolence, fatigue, and pale tongue (16 items) had the relatively high proportion, and they were eligible for Delphi process. Delphi method: A total of 93 experts (22 for the first round, 71 for the second round) were included. The reliability of the items was 0.885 for all the experts. The 16 items were not significantly different between the two rounds (P>0.05). According to the results of mean, frequency, sum of ranks and coefficient of variation, the item of nausea and vomiting, somnolence, pale tongue, and soft pulse were deleted. CONCLUSIONS: The questionnaire of phlegm turbidity syndrome of CHD was established, with good reliability. The sensitivity and specificity of the questionnaire are still necessary to further validate for clinical or scientific use.
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spelling pubmed-63046062019-01-08 Expert Consensus of Syndrome Differentiation for Phlegm Turbidity Syndrome for Coronary Heart Disease Chen, Xin-lin Liu, Xiao-qi Xie, Rong Peng, Dan-hong Wang, Yan-ping Zhou, Xuan Wang, Bin Mo, Chuan-wei Xu, Qian Li, Xiantao Evid Based Complement Alternat Med Research Article OBJECTIVE: The purpose of the study was to form a questionnaire of expert consensus about phlegm turbidity syndrome of coronary heart disease (CHD) using literature method and Delphi method, which could provide the objective evidences for the clinical diagnosis and treatment for CHD. METHOD: The CBM, CNKI, VIP, and PubMed were searched. The articles about phlegm turbidity syndrome for CHD with the definite related four diagnostic data were included. Based on the results of the literature method, two rounds of Delphi method were conducted. The TCM experts about CHD were enrolled. Concentration and coordination index of the experts were used to select the items. RESULTS: Literature method: A total of 118 articles were included. Greasy fur, slippery pulse, chest fullness or chest pain, anorexia, nausea and vomiting, vertigo, excessive phlegm, abdominal fullness, head heaviness, obesity, stringy pulse, physical heaviness, soft pulse, somnolence, fatigue, and pale tongue (16 items) had the relatively high proportion, and they were eligible for Delphi process. Delphi method: A total of 93 experts (22 for the first round, 71 for the second round) were included. The reliability of the items was 0.885 for all the experts. The 16 items were not significantly different between the two rounds (P>0.05). According to the results of mean, frequency, sum of ranks and coefficient of variation, the item of nausea and vomiting, somnolence, pale tongue, and soft pulse were deleted. CONCLUSIONS: The questionnaire of phlegm turbidity syndrome of CHD was established, with good reliability. The sensitivity and specificity of the questionnaire are still necessary to further validate for clinical or scientific use. Hindawi 2018-12-02 /pmc/articles/PMC6304606/ /pubmed/30622612 http://dx.doi.org/10.1155/2018/8184673 Text en Copyright © 2018 Xin-lin Chen et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Chen, Xin-lin
Liu, Xiao-qi
Xie, Rong
Peng, Dan-hong
Wang, Yan-ping
Zhou, Xuan
Wang, Bin
Mo, Chuan-wei
Xu, Qian
Li, Xiantao
Expert Consensus of Syndrome Differentiation for Phlegm Turbidity Syndrome for Coronary Heart Disease
title Expert Consensus of Syndrome Differentiation for Phlegm Turbidity Syndrome for Coronary Heart Disease
title_full Expert Consensus of Syndrome Differentiation for Phlegm Turbidity Syndrome for Coronary Heart Disease
title_fullStr Expert Consensus of Syndrome Differentiation for Phlegm Turbidity Syndrome for Coronary Heart Disease
title_full_unstemmed Expert Consensus of Syndrome Differentiation for Phlegm Turbidity Syndrome for Coronary Heart Disease
title_short Expert Consensus of Syndrome Differentiation for Phlegm Turbidity Syndrome for Coronary Heart Disease
title_sort expert consensus of syndrome differentiation for phlegm turbidity syndrome for coronary heart disease
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6304606/
https://www.ncbi.nlm.nih.gov/pubmed/30622612
http://dx.doi.org/10.1155/2018/8184673
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