重庆市基于疾病诊治的分层互补适宜卫生技术筛选研究 .pdf

重庆市基于疾病诊治的分层互补适宜卫生技术筛选研究

徐飞龙;王润华;杨竹;吕亚兰;徐雨晨;刘晓枫

【摘要】目的：筛选适合在重庆市县乡两级医疗机构推广应用的分层互补适宜卫

生技术，逐步建立和完善分级分类的适宜卫生技术数据库，扩大适宜卫生技术储备。

方法利用吕亚兰等[1]的适宜卫生技术评估指标体系，采用现场专家评分的方法对

重庆市科委项目“基于疾病诊治的分层互补适宜技术研究、评价及集成示范”的适

宜卫生技术群进行评价筛选[2]。结果各项技术的综合评分值均较高，最低分达到

94．61分，其中：舒利迭药物吸入技术98．24分、沙丁胺醇药物吸入技术

98．56分、吸入药物控制哮喘技术97．08分、思力华（塞托溴铵）药物吸入技

术97．97分、6分钟步行试验96．31分、肺通气功能检查技术95．61分、简

易肺功能检测技术95．59分、儿童支气管早期筛查技术94．59分、儿童支气管

哮喘病情检测技术-C-AT（儿童哮喘控制测试）评估表96．94分。结论根据适宜

卫生技术的入选标准，经过适宜卫生技术评估指标体系进行专家评分，纳入初筛的

9项适宜卫生技术全部高分被选中入库，结合各示范县乡的卫生资源和患病率情况，

可以对这9项技术加以推广应用。%ObjectiveToscreenthe

hierarchical,mutuallysupplementaryAppropriateTechnologyinHealth

suitableforthepromotionandapplicationinthecountyandtownship

two-levelmedicalinstitutionsinChongqingforgraduallyestablishingand

per-fectingthegradingandclassificationofAppropriateTechnologyin

Healthdatabase,andexpandingAppropriateTechnologyinHealth

reserves.MethodsUsingLvYalan[1]assessmentindexsystemof

appropriatehealthtechnology,thentheexperts′scoringmethodinthefield

wasadoptedforevaluatingandscreeningtheChongqingMunicipal

ScienceandTechnologyProjectbasedonstratificationofdiagnosisand

treatmentofdiseasecomplementaryappropriatetechnology

research,evaluationandintegrationdem-onstrationAppropriate

TechnologyinHealthgroup[2].ResultsThecomprehensivescoresof

varioustechniqueswerehigh,inwhichthelowestscorewas94.61

points,including:thedrugseretideinhalationtechnique98.24points,the

drugsalbutamolinhala-tiontechnique98.56points,inhaledmedicationsto

controlasthmatechnique97.08points,thedrug

spiriva(tiotropium)inhalationtechnique97.97points,6-minwalktest96.31

points,pulmonaryventilationfunctioninspectiontechnique95.61,summary

pulmo-naryfunctiontestingtechnique94.59,childrenbronchialgetup

earlyscreeningtechnique94.59,childbronchialasthmadetection

technique-C-AT(