呼吸道疾病的评定和处理方法指南.ppt

GARD 全球防慢性呼吸疾病联盟 Working towards the common goal of fighting chronic respiratory diseases 针对向慢性呼吸病斗争的一般目标的工作 Identifying problems 确认问题 Promoting solutions 推动解决 Coordinating activities 协调活动 Sharing expertise; encouraging and facilitating information exchange 参与的专家；鼓励支持信息交流 Shared expertise 技术共享 Throughout the world, physician groups have developed “guidelines” for the diagnosis and management of respiratory disease 全世界的医生组织都制订了呼吸病诊断治疗指南 These guidelines are mostly evidence-based 这些指南大多为循证性 Most are available from the World-Wide Web 大多数可从全世界范围的网络上找到 Advantages of guidelines 指南的优点 Guidelines reflect a consensus of many experts on various non-controversial and controversial topics 反映许多专家在各种无争议/有争议领域的一致意见 Evidence-based 循证性 The authors of guidelines have done a very detailed review and analysis of published literature 作者对已出版的文献做了详细的回顾和分析 Many guidelines have been studied prospectively to verify that they are appropriate for use 一些前瞻性研究已证明其实用性 Some of the guidelines have international acceptance 有些已被许多国家接受 Disadvantages of guidelines 指南的不足 Since guidelines are consensus recommendations, they are not appropriate for all patients 指南为共性的推荐内容，不一定适用于所有患者 Guidelines are not a substitute for clinical thinking 指南不能代替临床思维 Guidelines must be regularly updated to remain useful; physicians must be kept aware of updates 医生应意识到指南必须经常性修改，保持先进与实用 Guidelines differ from country to country, reflecting different practice styles不同国家有适合本国服务方式的指南 Examples – 1例-1 Global Initiative for Asthma (GINA) 哮喘全球行动 Global Initiative for chronic Obstructive Lung Disease (GOLD) 慢阻肺全球行动 Allergic Rhinitis and its Impact on Asthma (ARIA) 过敏性鼻炎及其对哮喘的威胁 Examples – 2例-2 International Primary Care Airways Group (IPAG) primary care workbook 国际呼吸道疾病基层医疗(IPAG) - 基层医疗业务手册 Available from WONCA 可从WONCA得到帮助 Addresses diagnosis and management of rhinitis, asthma, COPD提出鼻炎、哮喘、慢阻肺的诊断处理 Based on GINA, GOLD, ARIA guidelines 以GINA, GOLD, ARIA 指南为基础 Symptom-based, easy to use 症