The Study On The Tcm Syndrome About Chronic Pelvic Inflammatory Disease Through Expert Questionnaire Consultation By Using Delphi Method

Objective:This study used the Delphi method expert consultation questionnaire on Chronic Pelvic Inflammatory Disease (CPID) of TCM study to examine the characteristics of TCM syndrome and its mechanism of CPID. Methods:(1) Made the "CPID TCM expert advisory table" according to the design principles of Delphi method. (2) The first round:"CPID TCM expert advisory table" were sent to 30 gynecological specialists by hand-deliver, letters, or E-mail. The specialists dispersed in 14 hospitals of 4 provinces around the whole country. All the specialists evaluated the table independently. The table were taken back and conducted statistical analysis after two weeks. (3) According to the statistical analysis of the results of questionnaires of experts of the first round and the additional comments from the experts, we supplement the integration of groups of experts to amend the second round expert questionnaire, in the same ways and means to send to the experts referred above for the second consultation. (4) Statistical Methods:Using Spssl3.0 statistical software, statistical analysis of the syndrome and the composition of the different levels of evaluation, two evaluation of dispersion compared using paired sample Wilcoxon signed-rank test. Results:(1) After the paired sample Wilcoxon signed-rank test, the dispersion tendency was decreased in the second round comparing with the first round after two rounds of Delphi expert advice, expert knowledge can be focused, expert knowledge converge. (2) Most experts believe that the common syndrome of CPID were a damp-heat stasis junction (86.7%), blood stasis and kidney deficiency (76.7%), qi stagnation and blood stasis (73.3%); most experts believe that qi deficiency and blood stasis (83.3%), hot and humid accumulation (73.4%), cold and blood stasis (60.0%), blood and heat stasis (56.7%) were more common syndromes in CPID; most experts believe that cold dampness stagnation (56.7%). liver depression and kidney deficiency (56.7%) in patients with CPID syndrome were not common. (3) Also obtained expert signs and symptoms of various syndromes in the importance of evaluation, namely, the primary diagnosis of various disease syndromes and sub-syndrome. Conclusions:The expert consensus suggested that CPID common to damp-heat stasis syndromes knot, blood stasis and kidney deficiency and qi stagnation blood stasis; more common for the qi-deficiency and blood stasis syndrome, hot and humid accumulation, cold blood stasis, and combination of heat and blood stasis; retension of cold and dampness, Liver depression and kidney and other CPID rarely witness waiting. Expert consensus prompted to designate the different symptoms and signs in check against the importance of diagnosis is different, the distinction between the primary disease, sub-disorders are more reasonable.