掌握辨析理论学习方法提升临床实践能力——再论不同地域产科问题的普遍性及多样性与质疑性  

Master the theory of discriminant analysis and improve clinical practice:comment again the universality,diversity and questionability of obstetric issues in different regions

作　　者：杨孜[1] Yang Zi(Department of Obstetrics and Gynecology,Peking University Third Hospital,Beijing 100191,China)

机构地区：[1]北京大学第三医院妇产科,100191

出　　处：《中华妇幼临床医学杂志（电子版）》2020年第1期8-15,共8页Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition)

基　　金：国家自然科学基金资助项目(81370723);北京市自然科学基金资助项目(7132215);北京市科技重大专项首都临床特色应用与成果推广计划项目(Z171100001017231)。

摘　　要：产科问题在世界范围内存在着普遍性、多样性及质疑性。无论面对产科医学的临床实践还是理论认知,无论是对产科相关指南学习还是实践把控,无论来自患者,还是产科医师,无论是在发达国家,还是发展中国家,产科问题存在共性,也存在多样性和复杂性。其中,“人”的因素起着关键作用。本研究从产前保健、子痫前期发病机制、阿司匹林、普伐他丁预防子痫前期、妊娠期抗高血压治疗和过度医疗几个方面进行论述。了解产科问题的普遍性、多样性,掌握质疑性辨析理论学习方法,避免对研究结果的囫囵吞枣,以及对指南的生搬硬套,从而提升产科临床实践能力。Obstetric issues are universal,diverse and questionable worldwide.For obstetric issues,whether in face of clinical practice or theoretical knowledge,whether in face of study of obstetric related guidelines or practice control,whether from patients or obstetricians,whether in developed or developing countries,there are commonalities,but also diversity and complexity.The"human"factor plays a key role on those issues.This article focuses on discussing prenatal care,preeclampsia pathogenesis,and prevention of preeclampsia by aspirin or pravastatin,antihypertension treatment during pregnancy and over-medical aspects.Understanding the diversity of obstetric issues,mastering the learning method of questioning discriminant analysis,avoiding accepting research results without thinking,and avoiding copying guidelines completely without analysis,thereby we can improve the ability of obstetric clinical practice.

关 键 词：产前保健 子痫前期 阿司匹林 普伐他丁 预防 抗高血压 过度医疗 

分 类 号：R71[医药卫生—妇产科学]