The ones that weave and prevent and cure coronary heart disease " The dragnet "

The ones that weave and prevent and cure coronary heart disease " The dragnet "
Cover 25 provinces and cities and over 110 hospitals and coronary heart disease integrated control platforms of the communities in the whole country, 4 atherosclerosis pathological change prevent and cure the base in early period before the clinical disease, study the formation database, the standardized prevention doctor's training and patient's educational pattern of coronary heart disease second in nearly ten thousand patients' prevention of coronary heart disease second, standardized clinical diagnosis route and treating the system research of the tactics to coronary heart disease " eleven five " Country's science and technology support plan - -Early diagnosis and research project of the complex treatment technology system of coronary heart disease, the knot question jointly carried on through the Ministry of Science and Technology, Ministry of Public Health recently is confirmed. Confirm the result to reveal, nationwide, one has already had embryonic forms for the first time from coronary heart disease integrated control system which the tertiary hospital passed through to the community, and begin to contribute.Person in charge, first hospital heart centre director Professor Huo Yong in Peking University say the project, this large-scale clinical research will also coronary heart disease second which improves our country prevent the guide, standardize the healing solution etc. to offer scientific basis, and benefit patient finally.13 sub subjects cover and prevent and cure the whole course"The prevention and control of coronary heart disease is a system engineering. " Yong Huo point out, have illness coming on from coronary heart disease course come, watch, in charge of narrow, the intersection of artery and the intersection of porridge and kinds of the intersection of spot and forming, the intersection of spot and break-up of piece of piece of, it is one that has inner link, continuous course. Want, lower the intersection of coronary heart disease and morbidity, mortality fundamentally, centre on all link that coronary heart disease has illness coming on prevent and control firmly soon.Through the common participation of more than 110 cooperation units of the whole country, further combine the advantages of community, hospital and tertiary first rate hospital at the basic level, the domestic largest coronary heart disease integrated control platform has already been constructed and finished tentatively at present. On this platform, first class prevention, second prevention, diagnosing and treating of coronary heart disease,etc. are studied and gone on thoroughly in many aspects.It is introduced, this research is divided into 13 sub subjects altogether, through large-scale epidemiology research, many centre clinical trials, detection index system of pathological change before atherosclerosis disease canvassing the suitable national conditions of our country especially is clinical, propose and appraise it and prevent and intervene the tactics in early days; Appraise the diagnostic method of coronary heart disease again, propose suiting the standardized clinical diagnosis procedure of different rank hospitals; Screen the healing solution optimally, treat different condition, different dangerous coronary heart disease patients of degree rationally; Strengthen the popularization of the precautionary measures to use."The main purpose is what area, many rank hospitals, cooperation of medical disciplines much in urban and rural areas passed, construct the integrated control system of coronary heart disease of our country, popularize the standardization and prevent and cure the tactics, improve coronary heart disease of our country and prevent and cure competence wholly. " Huo Yong says.14 million yuan is put into the crowd to study"The subject has obtained scientific research fund input of country of 14 million yuan. This is that the clinical research field country invests the most subject for research of funds at present. " Huo Yong says.It is introduced, a lot of clinic diagnosis guides including that coronary heart disease has been prevented and cured in our country mostly come from abroad at present, the scarce and real one " China is original " . The large-scale clinical research of regarding crowd as the research object is exactly the soil that various clinical guides were born, and the research of this respect is on also almost blank of our country.Huo Yong says, the objective conclusion that study, register research through the formation and the random controlled study obtains, can offer scientific basis for prevention and cure tactics of coronary heart disease. Among them, the large-scale formation was studied and registered and studied and offered to clinician and is closer to clinical real following the medical materials of card, not only is influencing the formulation of the guide to the clinic diagnosis directly but also can offer the first-hand materials for managing and making policy in public health.Construct institutional knowledge and propagate the systemYong Huo say do a good job of integrated control of coronary heart disease, any key to let civilian know professional knowledge that prevent and cure very, and turn knowledge into the conscientious behavior."Should realize this goal, it is far from enough that the health of the scratching the surface type is propagated, but need to propagate, set up the structure of education of the whole people's health institutional knowledge. " Huo Yong emphasizes, set up coronary heart disease based on community and prevent and cure and study the base and make up from tertiary hospital to different rank level medical organizations such as the community health Center in early days, cover the coronary heart disease integrated control platform of the domestic main area, it is exactly one of the important goals that this subject for research should be realized too.Huo Yong says, " institutionalized " Health education system in,community doctor last the personal health files of the residents, carry on the health education and intervene in early days according to every concrete index that coronary heart disease prevents, intervenes in early days. According to the introduction of Zhang Yan, director of office of this subject, while intervening the community in the critically ill dangerous factor of the first heart that is set up already in early period, community doctor go on following up a case by regular visits to 4 week to the intersection of target and crowd every 2 weeks, help them to form the healthy life style, and intervene in early days.Zhang Yan says, in this integrated control platform, community's doctor is not " fighting " alone ,Its daily health management will get support from professional health management organization. Meeting the difficult case, community's doctor can ask higher authorities to cooperate in the hospital and offer technical support through the integrated control platform. In addition, the ones that can finish the data through the special network data base platform, doctors are input, management and controlling in real time, it is operated that the remote medical consultation with specialists, doctors and patients are interdynamic,etc..ChainingPrevent and cure and make a diagnosis multiple research go on synchronouslyFirst class prevention: The seminar has set up 3 relevant sub subjects, the research object involves as many as ten thousand people, carry on the large-scale clinical research of atherosclerosis and clinical previous pathological change especially. Through constructing the clinical previous pathological change formation of atherosclerosis of the middle-aged and old crowd of our country, appraise therapeutic life style and Atto and cut down the influence intervened and developed to atherosclerosis and clinical previous pathological change in his spit of fland; Observe and hit index progress speeds and influence factors in the arterial carotis in the middle-aged and old crowd in our country such as membrane thickness, ankle arm index and wave speed of pulse,etc.; Explore the progress in 5 of the middle-aged and old crowd's above-mentioned index and send the energies the relation of one of running affairs newly.Second prevention: Researchers pass and construct the big sample database of the prevention of coronary heart disease second, carry on the popularization and application of second prevention pointedly; Appraise and strengthen and lower lipoprotein intervening, unusually result in measures such as intervening, movement rehabilitation,etc. of sugar tolerance.Diagnose: The seminar has set up 3 sub subjects, through analyzing the hospitals at all levels diagnose the current situation of the respect at coronary heart disease in early days at the present stage, in the hope of setting up the standardized coronary heart disease and diagnosing procedure and clinical diagnosis route, achieve the goal of lowering the mistaken diagnosis rate of coronary heart disease, leaking the examining rate and saving medical resources.Treat: The sub subject " The curative effect of different coronary artery pathological change healing solutions and economics research of the hygiene " ,And getting involved and treat to drug therapy to coronary artery critical pathological change, surgery and getting involved to treat the impact on the curative effect and economics effects of the hygiene of coronary artery 3 pathological changes to appraise, offer reference for the fact that the patient is chosen more economic and more effective treatment means.
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