See first with glucocorticoid " The guide "

See first with glucocorticoid " The guide "
It is reported (Reporter's grandson Dream) A few days ago, Ministry of Public Health made " glucocorticoid medicine clinical practice guideline ", define the the intersection of medicine and clinical reasonable principle, the intersection of clinical practice and management expectancy, applicable scope of application and use medicine notes and therapeutic principle in different disease, demand to know the adaptation card treated strictly and make the healing solution rationally, and limit the use not adapting to the card clearly strictly.
The glucocorticoid medicine is used mainly for resisting inflammation, resisting virus, resisting the shock and immunity and inhibiting treating, employ in the making a diagnosis and giving treatment of every subject extensively, but clinical unreasonable application is very outstanding.
" principle " points out, the glucocorticoid medicine has been comparatively general according to meeting the situation that the card gives medicine strictly on clinic. If is simple with the purpose of bringing down a fever and stopping the pain, especially use in infective disease with the purpose of bringing down a fever and stopping the pain, belong to and has not given medicine according to adapting to the card strictly. Though glucocorticoid inhibits one's own immune pharmacology function, are not suitable for all one's own immune disease treatment, for example chronic lymphocyte soaking thyroiditis ' A disease of bridge) , 1 type diabetes, ordinary type silver bits are ill,etc..
" principle " requires, glucocorticoid of rational application should synthesize patient's condition and medicine characteristic, select appropriate variety, dosage, course of treatment and for the medicine routing,etc. for use. Should monitor the bad reaction of glucocorticoid, pay attention to stopping medicines and reacting and jumping the phenomenon instead. The pregnant woman should be careful to use glucocorticoid, heavy dose of persons who use glucocorticoid should not be pregnant. Sensitive to glucocorticoid, there is serious spiritual medical history, patients such as epilepsy, fracture, serious hypertension and diabetes,etc. should try hard to avoid using glucocorticoid.
Have also managed and proposed the relevant requirement for the clinical practice of glucocorticoid in " principle ": Assault the treatment (course of treatment less than 5 days, suitable for the rescue of the critical disease patient) Decision of person who needs to have attending physicians the above; Cheng's glucocorticoid healing solution that it is long, need the above one by the corresponding discipline attending physician to make; The healing solution of long Cheng of the intersection of inborn renal gland and the intersection of cortex and the intersection of hyperplasia and disease is made, the decision of person who takes more than of professional attending physicians of endocrine of tertiary hospital; The clinician can be higher than the above-mentioned authority and use glucocorticoid under the emergency, but is only limited to the consumption in 3 days, and record and treat and cure the course strictly.
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