以“SOAP问诊”和“六经辨证”为核心的中医全科规范化诊疗体系建设与探索

原理; 黄哲; 李炜; 原爱红

doi:10.16766/j.cnki.issn.1674-4152.002484

以“SOAP问诊”和“六经辨证”为核心的中医全科规范化诊疗体系建设与探索

doi: 10.16766/j.cnki.issn.1674-4152.002484

原理¹,
黄哲²,
李炜³,
原爱红^4, ,

1.
上海中医药大学附属上海市中西医结合医院全科医学科，上海 200082
2.
上海中医药大学附属上海市中西医结合医院脉管科
3.
上海市虹口区凉城新村街道社区卫生服务中心家庭病床科，上海 200434
4.
同济大学附属同济医院肾内科，上海 200065

基金项目:

上海市卫生和计划生育委员会科研课题 201740188

上海市虹口区“国医强优”三年行动计划(2018-2020年)项目 HGY-ZHZL-2018-02

详细信息

通讯作者:
原爱红, E-mail: aihongyuanxn00@126.com

中图分类号: R2-05R499
计量
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- 被引次数: 0
出版历程
- 收稿日期: 2011-11-08
- 网络出版日期: 2022-09-21

Construction and exploration of standardized diagnosis and treatment system of general practice of traditional Chinese medicine with SOAP interrogation and six meridian syndrome differentiation

YUAN Li¹,
HUANG Zhe²,
LI Wei³,
YUAN Ai-hong^{4
, ,}

1.
General Practice Department, Shanghai TCM-Integrated Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 200082, China

摘要

摘要: 中医全科医学在教学方面已初现成果，而与之相关联的毕业后在社区医院和综合医院从事中医全科事业的医务人员应如何寻求所在学科的特色发展和个人职业生涯的长效发展等临床实践问题，还存在诸多困惑。上海中医药大学附属上海市中西医结合医院中医全科医学科作为上海市首批中医全科教学基地，已建科4年，在完成教学工作的同时，也积累了丰富的临床经验，并初步探索出一条极具特色的学科发展道路。本文通过整理分析其实践经验，总结出包括理论设计、临床实践、取得成效、问题不足、下一步发展方向等5个方面的内容，其中理论设计是以“SOAP问诊”和“六经辨证”为核心的中医全科规范化诊疗体系；临床实践则介绍了本研究所在单位临床服务流程和各个环节技术与服务操作内涵；取得成效主要从患者数量变化、患者地理位置分布变化、患者诊疗疗程变化3个方面展示服务逐步深入性和成长性；问题不足主要包括学科原始创新技术和学科理念传播2个方面；下一步发展将重点关注借助理论来加速实践探索，并寻找到3个理论模型重点突破影响力建设、原创性技术研发、医教研互动3个方面。
- 中医全科 /
- 诊疗体系 /
- 八纲解六经 /
- SOAP问诊
Abstract: Preliminary results have been achieved in general medicine teaching of traditional Chinese medicine (TCM). In clinical practice of general practice of traditional Chinese medicine, there are many puzzles in discipline characteristics and long-term development of general practitioners ' career in community hospitals and general hospitals. As one of the first bases of general medicine teaching of traditional Chinese medicine in Shanghai, the Department of General Medicine of Shanghai TCM-integrated Hospital Affiliated to Shanghai University of Traditional Chinese Medicine has been established for 4 years and the road of discipline development has been explored. To introduce the preliminary construction of standardized diagnosis and treatment system in the Department of General Medicine of Shanghai TCM-integrated Hospital Affiliated to Shanghai University of Traditional Chinese Medicine. By sorting and analyzing its practical experience, we summarized five aspects including theoretical design, clinical practice, results, problems and deficiencies, next development direction. The theoretical design was the construction of standardized diagnosis and treatment system of general practice of traditional Chinese medicine taken SOAP interrogation and six meridian syndrome differentiation as a core. In clinical practice, it presented the clinical service process of the institute in the unit and the connotation of technology and service operation in each link. The achievements mainly included the changes in the number of patients, changes in the geographical distribution of patients, and the treatment process of patients which showed the gradual deepening and growth of the service. The problems mostly included the original innovative technology of the discipline and the dissemination of the discipline idea. The next development focused on the use of theory to accelerate practical exploration, and found three theoretical models on three aspects of influence construction, original technology research and development, and interaction of medical treatment, teaching and research.
- General practice of traditional Chinese medicine /
- Diagnosis and treatment system /
- Eight principles resolving six meridians /
- SOAP interrogation

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图 1 中医全科特色规范化诊疗体系实践流程

Figure 1. Practice process of standardized diagnosis and treatment system with Chinese general practice

下载: 全尺寸图片幻灯片

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