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目的:推广应用儿童哮喘早期诊断和规范化治疗技术,提高基层儿童哮喘的临床治疗质量。方法:选取浙江省诸暨市、安吉县、绍兴县、余杭区4个示范区的82所乡镇医疗机构开展技术推广应用和质量控制。结果:4个示范区的儿保医生以集中辅导的方式接受了省级的培训,2008～2011年接受培训的医务人员共280人,开展技术应用2 438例,4个示范区的平均技术应用率为90.5%,4个示范区的平均综合满意度为86.0%,自愿选择应用儿童哮喘早期诊断和规范化治疗技术的家长占就诊数的82.0%。结论:基层推广应用儿童哮喘早期诊断和规范化治疗技术的成败关键是技术掌握熟练程度与哮喘知识认知度。
Objective: To promote the early diagnosis and standardization of childhood asthma treatment technology to improve the quality of clinical treatment of primary asthma. Methods: Eighty township medical institutions in 4 demonstration areas of Zhuji City, Anji County, Shaoxing County and Yuhang District of Zhejiang Province were selected to carry out the technology popularization and application and quality control. Results: The child-care doctors in the four pilot districts received training at the provincial level in the form of intensive counseling. A total of 280 medical staff trained in 2008-2011 carried out 2 438 technical applications and average technical applications in 4 pilot areas The rate of 90.5%, the average comprehensive satisfaction rate of 86.0% in 4 demonstration areas, and 82.0% of the number of parents voluntarily choosing to apply the early diagnosis and standardization of childhood asthma treatment. Conclusion: The key to popularizing the application of primary diagnosis and standardization of childhood asthma is to master the proficiency in technology and knowledge of asthma.