Evaluation of Applicability of Diagnosis and Treatment Guideline of Traditional Chinese Medicine for Children Allergic Purpura in Jinan Area

XI Leiming; ZHOU Peng; ZHANG Baoqing

Abstract：Objective:Cooperating with the standardization of diagnosis and treatment of traditional Chinese medicine(TCM) carried out by the state administration of TCM,to evaluate the applicability of the Draft of Diagnosis and Treatment Guideline of TCM for Children Allergic Purpura in Jinan Area retrospectively.Methods:Children with allergic purpura who visited the affiliated hospital of shandong university of TCM from April 2012 to April 2014 were randomly selected for the study.Their clinical data was filled in the Case Questionnaire for Application Evaluation of Diagnosis and Treatment Guideline of TCM.And then the clinical data was statistically analyzed.Results:①The coincidence rate of the name of children allergic purpura in diagnosis was 100％,in which the coincidence rate of TCM syndrome of allergic purpura was 90.91％ and that of TCM syndrome of purpura nephritis was 39.48％.②The coincidence rate of TCM therapeutic principles and methods of allergic purpura was 81.82％ and that of the prescriptions and medicines was 61.04％.The coincidence rate of TCM therapeutic principles and methods of purpura nephritis was 34.21％ and that of the prescriptions and medicines was 39.47％.③The effective and curative rate of TCM diagnosis and treatment for children allergic purpura was 86.96％.For security evaluation,"terrific" accounted for 72.17％ and "better" accounted for 27.83％.For economic evaluation,"terrific" accounted for 69.56％,"better" accounted for 21.74％ and "good" accounted for 8.70％.Conclusion:The guideline was generally suitable for clinical application and can be used as the standard for treatment of this disease,but it needs further improvement.Suggestions for syndrome differentiation:syndrome of blood stasis in the collateral should be added to the allergic purpura syndrome differentiation.Syndrome of dampness-heat with blood stasis,blood stasis in the collateral and deficiency of spleen and kidney Yang should be added to purpura nephritis syndrome differentiation.Contents about nursing and prevention should be added.