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find Author "何权瀛" 48 results
  • 目前我国睡眠呼吸医学面临的一些困难和问题

    我国的睡眠呼吸医学起步于20世纪80年代,至今已有20多年。研究表明睡眠呼吸障碍性疾病,其中主要是睡眠呼吸暂停低通气综合征(OSAHS),是一种常见病,患病率至少为4%左右,而且逐渐认识到OSAHS与常见的心脑血管疾病、糖尿病等关系十分密切,因而最近几年提出必须高度重视OSAHS的靶器官损害。此外还初步认识到OSAHS与道路交通事故、儿童发育有关,因而认为OSAHS又是重大的社会、公共卫生问题。然而,由于种种原因,我国睡眠呼吸医学的发展步伐还远远落后于欧美发达国家,在某些方面还有很大差距。因而有必要深入探讨一下产生这种差距的原因,也即我国睡眠呼吸医学发展中存在的一些问题和困难。

    Release date:2016-08-30 11:35 Export PDF Favorites Scan
  • 对于慢性咳嗽诊断治疗的几点考虑

    慢性咳嗽是一种常见的症状,也是患者就诊的主诉之一。近年来随着人们对于慢性咳嗽的重要性的认识进一步深化,欧美国家对慢性咳嗽的常见病因进行了深入地研究,先后制订了相关的诊治指南。为了进一步规范我国咳嗽的诊断和治疗,加强咳嗽的临床和基础研究,中华医学会呼吸病学分会组织相关专家,参照国内外有关咳嗽的临床研究结果,共同制定了“咳嗽的诊断和治疗指南”? ,其后国内对于咳嗽的病因、治疗的研究日渐深入。但是必须看到目前在咳嗽,特别是慢性咳嗽的基础研究和临床诊治方面仍存在一些问题,需要进一步深入研究。本文就有关慢性咳嗽的诊断、治疗等问题谈几点不成熟的看法,供大家参考

    Release date:2016-09-14 11:52 Export PDF Favorites Scan
  • Some issues on the early intervention of chronic obstructive pulmonary disease

    鉴于慢性阻塞性肺疾病(COPD)的气流受限特点是进行性发展,而且不能完全可逆,同时COPD带来沉重的社会经济负担,成为劳动力丧失和死亡的重要原因之一。因而近年来国外一些学者主张早期干预COPD,并且提出许多理由,诸如早期干预COPD可以减少症状,减少动态过度充气,改善肺功能,提高生命质量等。然而,必须看到COPD的早期干预是一项很艰难的系统工程,有许多问题需要大家认真思考和讨论,尤其是在我国这个问题尤为重要和复杂。故愿就我国COPD的早期干预问题谈一些不成熟的看法,以就正于同道。

    Release date:2016-08-30 11:36 Export PDF Favorites Scan
  • 从一例Churg-Strauss综合征诊断过程谈临床诊断思维

    Release date:2016-09-14 11:22 Export PDF Favorites Scan
  • Knowledge Level about Prevention and Treatment of COPD: A Cross-Sectional Survey in Pulmonary Physicians

    Objectives To evaluate pulmonary physicians’knowledge level about prevention and treatment of chronic obstructive pulmonary disease( COPD) in some urban areas in China. Methods A total of 258 pulmonary physicians were interviewed face-to-face in 24 hospitals from July to October in 2006. The questionnaire included the knowledge of COPD, prescriptions at initial visit and follow-up, pulmonary function test monitoring, assessment and intervention in stable COPD, knowledge and evaluation of the commonly used medicines, the effects of smoking cessation and adopted measures, as well as the knowledge of treatment prospects and patients’ education. Results Eighty-eight percent of pulmonary physicians considered themselves knowledgeable on COPD, and 95% were familiar with the severity classification. Most of them knew about GOLD and Chinese Guideline of Prevention and Treatment to COPD, and paid attention to chest X-ray and pulmonary function test during diagnosis. The standards in evaluation of stable COPD patients were not well understood, and 92% of physicians claimed for pulmonary function test in stable stage. Seventy-nine percent of physicians actively suggested the patients quit smoking. The prescription for COPD patients at iniative and maintenance therapy met the guideline on the whole, but the mucolytic agents were appreciated too much and used too frequently. Thirty-three percent of physicians took it necessary to treat stable COPD,and 69% believed that pharmacotherapy for stable COPD could rersult in satisfactory quality of life.Conclusions In some big cities in China, the pulmonary physicians have good knowledge about COPD. But long-term prevention and intervention, especially in pharmacotherapy, are still unsatisfactory.

    Release date:2016-09-14 11:23 Export PDF Favorites Scan
  • How to Understand that Tobacco Dependence Is a Chronic Morbidity

    长期以来人们一直将吸烟, 包括吸烟成瘾看作是一种习惯, 并没有将其视为一种疾病。这样使得戒烟变得很困难和复杂。吸烟之所以长期广泛流行并造成十分严重的社会经济危害, 原因包括一系列生物、心理、社会因素, 其中最重要的原因是由于香烟烟雾中的尼古丁是一种可以使人成瘾的物质, 使得吸烟人产生烟草依赖。1998 年世界卫生组织正式提出烟草依赖是一种慢性病, 列入国际疾病分类( ICD-10,F17. 2) 。这在吸烟与控烟历史上具有划时代的意义, 将会使控烟工作从此进入一个与以往不同的时代。

    Release date:2016-09-13 04:06 Export PDF Favorites Scan
  • 未病防病 已病防变 ——学习穆魁津教授有关COPD防控学术思想体系的几点体会

    Release date:2016-09-14 11:57 Export PDF Favorites Scan
  • 睡眠呼吸暂停与世界人口全因死亡率前10位疾病的关系

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  • 对“以心悸为主诉的支气管哮喘12例临床分析”的几点商榷

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  • 学习2006年发表的“社区获得性肺炎诊断和治疗指南”的几点思考

    Release date:2016-10-02 04:55 Export PDF Favorites Scan
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