呼吸道疾病的評定和處理指南課件

1、World Organization of Family Doctors (Wonca) Forum, Beijing, 2006William K. Dolen, MDMedical College of Georgia, AugustaGuidelines for Evaluation and Management of Respiratory Diseases呼吸道疾病的評定和處理指南/respiratory/gard/en/GARD 全球防慢性呼吸疾病聯(lián)盟 Working towards the common goal of fighting chronic respiratory d

2、iseases針對向慢性呼吸病斗爭的一般目標的工作Identifying problems 確認問題Promoting solutions 推動解決Coordinating activities 協(xié)調(diào)活動Sharing expertise; encouraging and facilitating information exchange 參與的專家；鼓勵支持信息交流Shared expertise 技術共享Throughout the world, physician groups have developed “guidelines” for the diagnosis and manag

3、ement of respiratory disease全世界的醫(yī)生組織都制訂了呼吸病診斷治療指南These guidelines are mostly evidence-based這些指南大多為循證性Most are available from the World-Wide Web大多數(shù)可從全世界范圍的網(wǎng)絡上找到Disadvantages of guidelines 指南的不足Since guidelines are consensus recommendations, they are not appropriate for all patients 指南為共性的推薦內(nèi)容，不一定適用于所

4、有患者Guidelines are not a substitute for clinical thinking 指南不能代替臨床思維Guidelines must be regularly updated to remain useful; physicians must be kept aware of updates 醫(yī)生應意識到指南必須經(jīng)常性修改，保持先進與實用Guidelines differ from country to country, reflecting different practice styles不同國家有適合本國服務方式的指南Examples 1例-1Global

5、 Initiative for Asthma (GINA) 哮喘全球行動Global Initiative for chronic Obstructive Lung Disease (GOLD) 慢阻肺全球行動Allergic Rhinitis and its Impact on Asthma (ARIA)過敏性鼻炎及其對哮喘的威脅Examples 2例-2International Primary Care Airways Group (IPAG) primary care workbook 國際呼吸道疾病基層醫(yī)療(IPAG) - 基層醫(yī)療業(yè)務手冊Available from WONCA 可

6、從WONCA得到幫助Addresses diagnosis and management of rhinitis, asthma, COPD提出鼻炎、哮喘、慢阻肺的診斷處理Based on GINA, GOLD, ARIA guidelines 以GINA, GOLD, ARIA 指南為基礎Symptom-based, easy to use 癥狀為基礎,便于使用Examples 3例-3International Primary Care Respiratory Group (IPCRG) Guidelines 國際呼吸道疾病基層醫(yī)療組織(IPCRG)指南/guidelines/index.

7、phpEntire issue of Primary Care Respiratory Journal 2006;15(1):1-74呼吸道疾病基層醫(yī)療的整體研究雜志2006;15(1):1-74Detailed, extensive 細節(jié)與延伸Summary 概要The GARD initiative will facilitate the sharing of expertise between primary care physicians and specialists GARD GARD行動將支持其?？漆t(yī)生與基層保健醫(yī)生之間交流經(jīng)驗By facilitating information exch