《肛管周围脓肿中医诊疗指南（ZYYXH/T322-341-2012）》临床适用性评价

冯文哲，宋继刚

陕西中医药大学附属医院，陕西 咸阳 712000

摘要：目的 评价《肛管周围脓肿中医诊疗指南（ZYYXH/T322-341-2012）》（以下简称《指南》）的临床适用性，为其修订提供依据。方法 采用国家中医药管理局“中医临床诊疗指南适用性调查问卷”，调查来自不同医院的50名肛肠科医生，从一般信息、质量与水平、《指南》的应用情况等方面对《指南》的适用性进行问卷调查。结果 76%的医生熟悉《指南》内容，但只有 48%的医生使用过《指南》。反映《指南》质量与水平的各条目中，除“证候分类是否合理”条目（合理率为76%）、“调摄与预防是否合理”条目（合理率为0%）

为不合理外，其余各条目均合理率＞90%；反映指南应用情况的各条目中，除“与本单位专家经验比较”条目

外，其余条目均应用率＞90%。结论 《指南》的总体适用性较好，建议今后修订时进一步吸收国家名老中医诊疗方案、医院特色诊疗方案及各级各类科研成果等。关键词：中医临床诊疗指南；肛管周围脓肿；适用性评价

DOI：10.3969/j.issn.1005-5304.2017.11.003

中图分类号：R2-05；R269.571 文献标识码：A

Clinical Applicability Assessment on Traditional Chinese Medicine Guideline of Perirectal Abscess (ZYYXH/T322-341-2012) Clinical Practice

FENG

(Affiliated Hospital of Shaanxi University of Chinese Medicine, Xianyang 712000, China)

Abstract: Objective To evaluate the clinical applicability of Traditional Chinese Medicine (TCM) Clinical Practice Guidelines of Perirectal Abscess (ZYYXH/T322-341-2012); To provide the evidences for the revision. Methods Questionnaire survey was performed in this study. 50 surgeons in department of anorectal surgery from different hospitals were asked to fill in a questionnaire designed by State Administration of TCM, and the investigated data were statistically analyzed in respect to the general information, quality, and application status. Results 76% of investigated surgeons were familiar with the guideline, but only 48% of them have used this guideline. In statistical agreement rates of those items to reflect the quality of the guideline, except for rates of “syndrome classification is reasonable” item was 76%, and “recuperating reserve is reasonable” item was 0%, which were referred as not qualified, the rates of the other items were all more than 90%. In statistical application rates of items to reflect the application of the guide, except for the rate of “comparing with expert experiences”, the rates of the other items were all more than 90%. Conclusion The general applicability of TCM Clinical Practice Guidelines of Perirectal Abscess is relatively well. The next revised work should uptake not only the experiences of prominent TCM doctors, but also the therapeutic programs of distinctive hospitals and all kinds of research achievements.

Key words: Traditional Chinese Medicine Clinical Practice Guideline; perirectal evaluation 肛管周围脓肿是肛管、直肠周围软组织内或其周围间隙内所发生的急慢性化脓性感染，是常见肛管直

肠疾病[1]。中华中医药学会 2012 年发布了《肛管周围

[2]

脓肿中医临床诊疗指南（ZYYXH/T322-341-2012）》 基金项目：国家中医药管理局标准化项目（ZYYBZ-2013[PJ67]） 文章编号：1005-5304(2017)11-0009-03 Wen-zhe, SONG abscess; Ji-gang applicability （以下简称《指南》），并已在临床使用。然而，《指南》在临床的适用性如何，是否符合临床实际技术水平，其诊疗方案在临床是否切实可行，是否对临床具有指导意义，目前针对这些问题的研究还未见报道。因此，有必要对《指南》适用性进行临床客观评价，以便今后作出修正，进一步指导临床。兹总结如下。