摘要
目的 调查在临床使用病征处理存在的障碍。方法 对16家医疗单位接诊的具有尿道分泌物（男性）、阴道分泌物异常和生殖器溃疡等病证的患者进行登记,决定是否采用病征处理,未采用病征处理者注明原因。结果 在41 24例入选病例中,接受病征处理者为 3 337例,占 80.9％。未采用病征处理的原因属于医务人员一方的因素者有 347例,占 44.1％,属于病人一方的因素者有421例,占53.5％。医务人员一方的因素包括因病人多、工作繁忙而未采用病征处理,只依据临床诊断（宫颈糜烂,阴道炎,滴虫,霉菌）而未予病征处理,觉得没有把握需要进一步检查,因先治疗其它感染而推迟性病治疗。病人一方的因素包括病人主动要求化验检查以便确诊,病人害怕服药或不愿用药,因没有钱而未完成治疗,自购药和未取药等。结论 影响临床采用病征处理的因素较为复杂。在以后的病征处理推广过程中,有必要针对存在的障碍采取相应的措施。
Objective To investigate the obstacles for the clinical application of syndrornic management of sexually transmitted disca.ses(STDs) . Methods Patients with syndromes of urethral discharge (male), vaginal discharge, or genital ulcer were registered and subjected lo treat according to syndrornic algorithms in 16 hospitals. The reasons for not application of syndrornic management were recorded. Results 3 337 out of 4 124 patients(80.9% )were managed based on syndrornic algorithms.The reasons for not application of syndrornic management could be divided into two sectors, i.e., providers' rea-sons(347 cases, 44.1 % )and patients' reasons(421 cases, 53.5 % ).The providers' reasons included too heavy work load, being used to diagnose patients with clinical impression, willing to do further laboratory tests in suspicious of syndrornic diagnosis, delaying syndromic treatment due to manage other infection. The patients' reasons included initiative of laboratory tests to make definite diagnosis by patients, fearing or unwilling to take medicine, lacking of money, willing to buy medicine in other pharmacies, or refusing to treatment. Conclusion The factors influencing the clinical application of syndromic algorithms are complicated.The necessary measures should be taken to deal with those obstacles in the further implementation of syndromic management.
出处
《中国性病艾滋病防治》
2001年第6期341-342,共2页
Chinese Journal of Std & Aids Prevention and Control
关键词
病征处理
临床应用
性病
Syndomic management Clinical application
