<正>慢阻肺(慢性阻塞性肺气肿)是以不完全可逆的气流受限,具有进行性不可逆为特征的气道阻塞性疾病[1]。家庭氧疗是利用给予氧气改善人体的生理、生化内环境,促进代谢过程的良性循环,以达到缓解症状、治疗疾病、预防疾病和增进健康的目的。2009年11月～2010年11月,我们对46例慢阻

Objective To know the composition and ordering of the common diseases of internal medicine attached to the community clinic service and to directly enhance the level of rational administration of the essential drugs.Methods The data of complete medical diseases from the clinic service of Liyuan community service center during January 2007 to December 2008 was collected.Therapeutic drugs which occupied the proportion of basic drugs were analyzed.According to clinical treatment guidelines of these diseases,rational application of the essential drugs was discussed.Results Among 5 243 cases of internal medicine diseases during 2 years,the first 20 common diseases amounted to 4 471 cases,occupying 85.3% of the total cases from internal medicine.Drugs from the internal medicine accounted for 90% of essential drugs.Drugs from the first 20 common diseases accounted for 70% of essential drugs.Conclusion The essential drugs can satisfy the basic medicine requirement of majority patients.Mastering the first 20 or more than 20 common medicine diseases and correct dosing method was effective way to master safe rational application of the basic drugs.

目的:了解社区门诊内科常见病种与排序、主要常见病的诊断问题,以便针对性提高社区门诊诊断水平.方法:对黎苑社区卫生服务中心登记的内科疾病,按单病种进行统计及排序,对某些病种根据需要做出进一步分析性统计,并结合临床进展对20位次内的主要病症进行有关诊断的初步分析.结果:2年中就诊的内科疾病约160种共5243人次,前20位常见病4471例次,分析提示对前20位常见病进行及时正确诊断并非都是易事.结论:了解社区门诊疾病谱,以有限的精力和时间学习和掌握对内科前20位左右常见病做出及时正确诊断,抓住重点可以较快提高社区医生的业务素质.

To promote grass-roots doctor to adopt reasonable and standard medication according to the 2009 version of national basic drugs.The tope 10 of infection-related diseases in medical outpatient from 2007 to 2008 in Liyuan community health service center were counted(1 447 cases).38 kinds of antibiotics in the part one of the national basic drugs catalogue(2009 edition) were focused.Based on the analysis of the characteristic of these infection-related diseases,the reasonable therapeutic regimens with these antibiotics,combining the physiology and pathology of patients and the basic knowledge of antibiotic pharmacology,were screened for community hospital.The mild or moderate infections were more usual in community clinic,antibiotics is easily to be abused.The physicians of community hospital should strengthen the etiology knowledge.The antibiotics in the national basic drugs catalogue can meet the community clinic,and price is clearly lower.Community doctor should know well about the patients,diseases and the basic drugs,and work out the reasonable antibiotic therapy.Community doctor should know that it is important to play the best curative effect and reduce resistance,adverse reaction and the medical expense.