社区卫生服务中心雾化室建设标准(上海市浦东新区、奉贤区专家共识)
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摘要
雾化吸入治疗是临床上较好的物理与化学治疗相结合的祛痰、消炎手段,被广泛应用于多种呼吸系统疾病的治疗,尤其是年幼儿童患者。随着儿科医联体建设的逐步开展,社区卫生服务中心应建立起与自身规模相适应的雾化室,从而为有需要的儿科患者提供连续性服务。但目前尚缺乏对社区卫生服务中心雾化室建设的统一标准。本共识在参考近期国内外相关评审标准、研究数据及管理指南的基础上,就社区卫生服务中心的雾化室建设要求、工作人员要求、药物配备及雾化室管理、质量控制等做出规范,以期为各地区社区卫生服务中心雾化室的规范建设提供参考。
Aerosol therapy is a physical-chemical treatment that is widely applied to treat a variety of respiratory diseases in populations,especially amongst young children,by clearing excess phlegm and relieving inflammation.With the gradual development of the pediatric medical consortium,a community health center should establish a aerosol therapy room of an appropriate size for providing continuing care for children in need.However,there are no unified standards for the construction of the room in community health centers.On the basis of the reviewing of the evaluation standards,study data and management guidelines associated with aerosol therapy room published recently,we developed a consensus statement,in which the standards for the construction,management,drug allocation and quality control of a aerosol therapy room,qualities and responsibilities of the corresponding care providers,and so on are detailed,hoping to provide assistance for the standardized construction of the aerosol therapy room in community health centers in China.
Aerosol therapy is a physical-chemical treatment that is widely applied to treat a variety of respiratory diseases in populations,especially amongst young children,by clearing excess phlegm and relieving inflammation.With the gradual development of the pediatric medical consortium,a community health center should establish a aerosol therapy room of an appropriate size for providing continuing care for children in need.However,there are no unified standards for the construction of the room in community health centers.On the basis of the reviewing of the evaluation standards,study data and management guidelines associated with aerosol therapy room published recently,we developed a consensus statement,in which the standards for the construction,management,drug allocation and quality control of a aerosol therapy room,qualities and responsibilities of the corresponding care providers,and so on are detailed,hoping to provide assistance for the standardized construction of the aerosol therapy room in community health centers in China.
引文
[1]原卫生部.三级儿童医院评审标准(2011年版)[Z].2011.
[2]申昆玲,洪建国,于广军.儿童雾化中心规范化管理指南[M].北京:人民卫生出版社,2015:2-3.
[3]中华医学会儿科学分会呼吸学组,《中华儿科杂志》编辑委员会.儿童支气管哮喘诊断与防治指南(2016年版)[J].中华儿科杂志,2016,54(3):167-181.DOI:10.3760/cma.j.issn.0578-1310.2016.03.003.Respiratory Group,Chinese Pediatric Society,Chinese Medical Association,Editorial Board of Chinese Journal of Pediatrics.Guideline for the diagnosis and optimal management of asthma in children(2016)[J].Chinese Journal of Pediatrics,2016,54(3):167-181.DOI:10.3760/cma.j.issn.0578-1310.2016.03.003.
[4]中华医学会儿科学分会呼吸学组慢性咳嗽协作组,《中华儿科杂志》编辑委员会.中国儿童慢性咳嗽诊断与治疗指南(2013年修订)[J].中华儿科杂志,2014,52(3):184-188.DOI:10.3760/cma.j.issn.0578-1310.2014.03.005.Chronic Cough Collaboration of Respiratory Group,Chinese Pediatric Society,Chinese Medical Association,Editorial Board of Chinese Journal of Pediatrics.Guideline for diagnosis and treatment of chronic cough in children in China(revised in 2013)[J].Chinese Journal of Pediatrics,2014,52(3):184-188.DOI:10.3760/cma.j.issn.0578-1310.2014.03.005.
[5]《中华儿科杂志》编辑委员会,中华医学会儿科学分会呼吸学组.毛细支气管炎诊断、治疗与预防专家共识(2014年版)[J].中华儿科杂志,2015,53(3):168-171.DOI:10.3760/cma.j.issn.0578-1310.2015.03.003.Editorial Board of Chinese Journal of Pediatrics,Respiratory Group,Chinese Pediatric Society,Chinese Medical Association.Expert consensus on diagnosis,treatment and prevention of bronchiolitis(2014)[J].Chinese Journal of Pediatrics,2015,53(3):168-171.DOI:10.3760/cma.j.issn.0578-1310.2015.03.003.
[6]申昆玲,邓力,李云珠,等.糖皮质激素雾化吸入疗法在儿科应用的专家共识[J].临床儿科杂志,2014,32(6):504-511.DOI:10.3969/j.issn.1000-3606.2011.01.021.SHEN K L,DENG L,LI Y Z,et al.Consensus on the use of inhalation of glucocorticoid with nebulizer in pediatric patients[J].Journal of Clinical Pediatrics,2014,32(6):504-511.DOI:10.3969/j.issn.1000-3606.2011.01.021.
[7]HESS D R.Nebulizers:principles and performance[J].Respir Care,2000,45(6):609-622.
[8]ZEIGER R S,MAUGER D,BACHARIER L B,et al.Daily or intermittent budesonide in preschool children with recurrent wheezing[J].N Engl J Med,2011,365(21):1990-2001.DOI:10.1056/NEJMoa1104647.
[9]鲍一笑.儿童哮喘门诊标准化建设和规范化管理[M].北京:中华医学电子音像出版社,2017:18-20.
[2]申昆玲,洪建国,于广军.儿童雾化中心规范化管理指南[M].北京:人民卫生出版社,2015:2-3.
[3]中华医学会儿科学分会呼吸学组,《中华儿科杂志》编辑委员会.儿童支气管哮喘诊断与防治指南(2016年版)[J].中华儿科杂志,2016,54(3):167-181.DOI:10.3760/cma.j.issn.0578-1310.2016.03.003.Respiratory Group,Chinese Pediatric Society,Chinese Medical Association,Editorial Board of Chinese Journal of Pediatrics.Guideline for the diagnosis and optimal management of asthma in children(2016)[J].Chinese Journal of Pediatrics,2016,54(3):167-181.DOI:10.3760/cma.j.issn.0578-1310.2016.03.003.
[4]中华医学会儿科学分会呼吸学组慢性咳嗽协作组,《中华儿科杂志》编辑委员会.中国儿童慢性咳嗽诊断与治疗指南(2013年修订)[J].中华儿科杂志,2014,52(3):184-188.DOI:10.3760/cma.j.issn.0578-1310.2014.03.005.Chronic Cough Collaboration of Respiratory Group,Chinese Pediatric Society,Chinese Medical Association,Editorial Board of Chinese Journal of Pediatrics.Guideline for diagnosis and treatment of chronic cough in children in China(revised in 2013)[J].Chinese Journal of Pediatrics,2014,52(3):184-188.DOI:10.3760/cma.j.issn.0578-1310.2014.03.005.
[5]《中华儿科杂志》编辑委员会,中华医学会儿科学分会呼吸学组.毛细支气管炎诊断、治疗与预防专家共识(2014年版)[J].中华儿科杂志,2015,53(3):168-171.DOI:10.3760/cma.j.issn.0578-1310.2015.03.003.Editorial Board of Chinese Journal of Pediatrics,Respiratory Group,Chinese Pediatric Society,Chinese Medical Association.Expert consensus on diagnosis,treatment and prevention of bronchiolitis(2014)[J].Chinese Journal of Pediatrics,2015,53(3):168-171.DOI:10.3760/cma.j.issn.0578-1310.2015.03.003.
[6]申昆玲,邓力,李云珠,等.糖皮质激素雾化吸入疗法在儿科应用的专家共识[J].临床儿科杂志,2014,32(6):504-511.DOI:10.3969/j.issn.1000-3606.2011.01.021.SHEN K L,DENG L,LI Y Z,et al.Consensus on the use of inhalation of glucocorticoid with nebulizer in pediatric patients[J].Journal of Clinical Pediatrics,2014,32(6):504-511.DOI:10.3969/j.issn.1000-3606.2011.01.021.
[7]HESS D R.Nebulizers:principles and performance[J].Respir Care,2000,45(6):609-622.
[8]ZEIGER R S,MAUGER D,BACHARIER L B,et al.Daily or intermittent budesonide in preschool children with recurrent wheezing[J].N Engl J Med,2011,365(21):1990-2001.DOI:10.1056/NEJMoa1104647.
[9]鲍一笑.儿童哮喘门诊标准化建设和规范化管理[M].北京:中华医学电子音像出版社,2017:18-20.