职业性三氯乙烯药疹样皮炎临床路径研制

发布时间：2018-05-11 06:01

本文选题：三氯乙烯 + 药疹样皮炎　；参考：《中国职业医学》2017年04期

【摘要】：目的建立职业性三氯乙烯药疹样皮炎(OMDT)临床路径。方法选择OMDT为临床路径的病种,在循证医学和临床资料分析的基础上,结合专家咨询和GBZ 185—2006《职业性三氯乙烯药疹样皮炎诊断标准》确定OMDT的诊断与治疗方案,制定临床路径文本,并进行初步临床验证。结果制定供医护人员使用的OMDT临床路径文本,包括标准住院流程(包括糖皮质激素的规范使用方案)、《临床路径表单》、《接受糖皮质激素治疗知情同意书》;制定供患者或其家属使用的患者版《临床路径告知书》。经初步临床验证,该临床路径有利于优化医疗流程,患者均无出现病情反跳和并发症,且患者对OMDT的认知程度和治疗的满意度均提高。结论 OMDT临床路径科学、合理,有利于规范医疗行为。
[Abstract]:Objective to establish the clinical pathway of occupational trichloroethylene drug rash dermatitis (OMDT). Methods OMDT was selected as the disease type of clinical pathway. On the basis of evidence-based medicine and clinical data analysis, the diagnosis and treatment scheme of OMDT was determined by combining expert consultation and GBZ 185-2006 diagnostic criteria for occupational trichloroethylene drug rash dermatitis. Make the clinical path text, and carry on the preliminary clinical verification. Results the text of OMDT clinical pathway for medical staff was made. It includes standard hospitalization procedure (including standard use plan of glucocorticoid, form of clinical pathway), informed consent to receive glucocorticoid therapy, and development of patient version for patients or their families. The results showed that the clinical pathway was beneficial to the optimization of the medical process, no rebound and complications were found in the patients, and the degree of cognition and satisfaction of the patients with OMDT were improved. Conclusion the clinical pathway of OMDT is scientific, reasonable and helpful to standardize medical behavior.
【作者单位】：广东省职业病防治院广东省职业病防治重点实验室;广东省妇幼保健院;
【基金】：国家科技支撑计划项目(2014BAI12B01) 国家临床重点专科建设项目(2011-09) 国家自然科学基金(81502769,81673141) 广东省职业病防治重点实验室(2012A061400007) 广东省医学科学技术研究基金(B2015070)
【分类号】：R135.7

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