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慢性阻塞性肺疾病(COPD)临床路径的实施处于起步阶段,在实施过程中遇到一些困惑。各级医院应在卫生部下发的COPD临床路径的基础上制定符合本单位实际的临床路径,这样才有利于在实践中不断创新,解决目前路径及疾病诊治指南中存在的问题,如制定临床简便可行的严重程度评估系统、初始经验性抗菌药物的时机、抗菌药物的疗程、COPD急性加重(AECOPD)患者激素的应用问题及出院时机的掌握等,以循证医学为依据,不断修改完善临床路径,促进COPD研究的进展。
The implementation of the clinical pathway of chronic obstructive pulmonary disease (COPD) is in its infancy, and some confusion is encountered in its implementation. Hospitals at all levels should formulate their own clinical pathways based on the clinical pathways of COPD issued by the Ministry of Health so as to promote continuous innovation in practice and solve problems in current pathways and disease diagnosis and treatment guidelines, Feasibility of the severity of the assessment system, the initial experience of the timing of antimicrobial drugs, antimicrobial medication, acute exacerbation of COPD (AECOPD) patients with hormone problems and the timing of discharge and so on, based on evidence-based medicine, and constantly modify and perfect the clinical pathway , To promote the progress of COPD research.