职业性慢性轻度镉中毒临床路径研究  

Research on the clinical pathway on chronic mild occupational cadmium poisoning

作　　者：夏丽华[1] 程樱[1] 赖关朝[1] 刘莉莉[1] 周珊宇[1] 黄永顺[1] 黄汉林[1,2] 

机构地区：[1]广东省职业病防治院,广东省职业病防治重点实验室,广东广州510300 [2]广东省妇幼保健院,511400

出　　处：《中国职业医学》2016年第5期547-551,共5页China Occupational Medicine

基　　金：国家科技支撑计划项目(2014BAI12B01);国家临床重点专科建设项目(2011-09);国家自然科学基金(81302465);广东省职业病防治重点实验室(2012A061400007)

摘　　要：目的建立职业性慢性轻度镉中毒临床路径,促进临床路径在职业病临床领域的应用。方法选择职业性慢性轻度镉中毒为临床路径的病种,以GBZ 17—2015《职业性镉中毒的诊断》为基础,应用循证医学及专家咨询法,确定诊疗方案,制定临床路径文本,并初步推广应用。结果职业性慢性轻度镉中毒临床路径文本包括标准住院流程、临床路径表单和患者版临床路径告知书。初步临床验证显示,该路径能有效保障临床疗效、缩短住院时间和控制住院费用。结论职业性慢性轻度镉中毒临床路径合理可行,临床路径在职业病领域具有良好的临床应用前景。Objective To establish the clinical pathway of chronic mild occupational cadmium poisoning,and to promote the application of clinical pathway in the treatment of occupational diseases. Methods Chronic mild occupational cadmium poisoning was selected as a disease for a pilot study based on GBZ 17-2015 Diagnosis of Occupational Cadmium Poisoning. The diagnosis and treatment scheme and the clinical pathway were developed based on the theory of evidencebased medicine and expert consultation. It was then used and evaluated in clinical practice in several hospitals. Results The content of clinical pathway of chronic mild occupational cadmium poisoning included the standard in-hospital treatment process protocol,the clinical pathway forms and the consent document for patients. The clinical application of the pathway significantly improved the outcome of treatment,shortened hospital stays and effectively control hospitalization expenses.Conclusion The clinical pathway for chronic mild occupational cadmium poisoning is rational and feasible. The result confirms that the clinical pathway may have good application prospect for the treatment of occupational diseases.

关 键 词：慢性 镉中毒 临床路径 研究 

分 类 号：R135.1[医药卫生—劳动卫生]