中华诊断学电子杂志 ›› 2015, Vol. 03 ›› Issue (02) : 102 -105. doi: 10.3877/cma.j.issn.2095-655X.2015.02.006 × 扫一扫
所属专题: 文献;
临床思维
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Zhentao Li1,†()
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李振涛. 临床医学进步的标示[J]. 中华诊断学电子杂志, 2015, 03(02): 102-105.
Zhentao Li. Marks for the progress in clinical medicine: thought and behaviour reform in diagnosis and treatment[J]. Chinese Journal of Diagnostics(Electronic Edition), 2015, 03(02): 102-105.
探讨疾病诊断治疗过程中仅仅关注疾病症状,不关注患者特征与"过诊断"、"过治疗"、"错诊断"、"错治疗"的关系,提炼出疾病诊断、治疗过程中与医学模式转化的相关操作。指出疾病诊断与治疗中不仅要关注疾病,更要关注患者的人格特征、应激事件、疾病反应、应对方式。在疾病治疗中,需要从药物与心理两个方面进行。提示诊断治疗思维与行为的变革是临床医学进步的标示;面对既往将"病"与"人"分开的陈旧医疗模式及目前中国的医患关系环境,诊断与治疗思维及操作的变革刻不容缓。
The psychosomatic reactions of excessive diagnosis, overdone treatment, misdiagnosis and incorrect treatment have been reviewed and analyzed from five medical specialties, which shows a reform in the diagnosis and treatment mode is imminent.An analysis is made of the relationship between the symptoms-only-oriented medical practice without considering patients′ different personalities and the above mentioned excessive diagnostic procedures, overdone treatment, misdiagnosis and incorrect treatment, from which we summed up some manipulation procedures promoting the medical service transformation related to the mode of diagnosis and treatment.In the process of diagnosis and treatment, physician’s attention should be payed not only to the diseases but also to the patients’ personalities, stress events, responses to the disease and his/her coping styles.Thus, clinical approach requires two aspects, medication and psychological assessment should be done by the physician simultaneously.This study concludes that current practice limits in patient′s assessment, diagnosis and treatment needs reform.This reformation will serve as a mark of the progress in medical service.Now it allows no delay to change our medical service in both thoughts and practice in the face of the timeworn mode of clinical medicine that deals with disease and patient separately and the current unfavourable environment of doctor-patient relationship.