人类辅助生殖技术实施中关于患者近亲属知情权的伦理思考  

Ethical Reflection on Informed Consent of Close Relatives in the Research and Application of Assisted Reproduction Technique(ART)

作　　者：何驰华[1] 皮洁[1] 朱敬香[1] 

机构地区：[1]荆州市中心医院生殖中心,湖北荆州434020

出　　处：《中国医学伦理学》2010年第5期20-21,共2页Chinese Medical Ethics

摘　　要：在人类辅助生殖技术领域,知情权很特殊,患者的病情属于个人隐私,但由于生殖涉及夫妻双方和家庭,知情权有时与隐私权形成对立。患者是否能自愿选择向近亲属告知病情,也仍然受到了其在家庭中的地位、来自家庭和社会的各种压力的影响。从伦理角度而言,对病情的知情权和治疗措施的决定权应该是患者本人。患者近亲属应在保障社会公益性不受到损害,患者的个人利益得到保护的基础上享有知情权,临床医务工作者应协助患者自愿、选择不损害患者利益的内容对其亲属进行告知,从而取得患者近亲属的理解和支持,减轻其家庭压力,为患者治疗创造有利的条件。In human assisted reproductive technology,the right to know is very special.On the one hand,the patients＇ condition are their own personal privacy,while since reproduction involves both husband and wife and their families,right to know and privacy are sharply opposing in sometimes.Whether a patient can voluntarily choose to close relatives of this condition,is still subject to his/her position in the family and pressures from family and society.From an ethical point of view,the right to know the disease and treatment measures for decision-making should be patient＇s own rights.Under the premise of not compromising public and personal welfare,close relatives of patients have the right to know.Clinical medical staff should assist patients voluntarily inform their relatives of those information unharmful for patients themselves,obtain understanding and support from their close relatives and alleviate patients＇ pressure from their families,in order to create favorable conditions for patients＇ treatment.

关 键 词：辅助生殖技术 知情同意 医患权益 伦理思考 

分 类 号：R-052[医药卫生]