Chinese General Practice·262·http:/hewn.chinagpnet E-mail:zgqkyx@chinagp.net.enJaunary 2023,Val.26 No.3·指南·共识·路径·【编者按】深圳市自2019年开始实施医防融合和呼吸系统重大疾病防治工作，支气管哮喘（简称哮喘）是重点防治病种之一。不同于高血压、糖尿病这些已经钠入国家基本公共卫生服务的病种，哮喘在基层早期诊断率低、基层全科医生管理经验校为欠缺。推动社区健康服务机构对高危或可疑患者有意识地进行早期筛查将有助于疾病的早期诊断、规范治疗和管理随访，是降低哮喘病死率、致残率以及提高患者生活质量和降低医疗费用的关键。深圳市医防融合呼吸项目组、深圳市呼吸系统重大疾病防治中心和深圳市社区卫生协会共同制定了《深圳社区健康服务机构支气管哮喘早筛和规范管理路径（试行版）》，该路径根据国内外指南，结合深圳社区健康服务机构的特色，采用临床路径的方式凝练出基层全科医生在哮喘早筛和管理中的工作步骤和工作要点，简洁明了，便于在基层实范，为在深圳社会主义先行示范区早日实现哮喘“防诊拉治康”做出积极地探索。深圳社区健康服务机构支气管哮喘早筛和规范管理路径（试行版）扫描二维码深圳市医防融合呼吸项目组，深圳市呼吸系统重大疾病防治中心，深圳市社区卫生协会查看原文【摘要】支气管哮喘（简称哮喘）是一种常见的慢性气道疾病，哮喘的早期筛查、规范化诊治及有效的管理是提高哮喘控制水平和改善患者生活质量的关键。哮喘频繁急性发作导致患者生活质量下降、医疗花费增加、经济负担加重。目前我国城镇地区哮喘的诊疗水平虽较前有所提高，但基层哮喘患者的控制水平仍然很低。在国内外哮喘指南、共识的基础上，结合深圳社区健康服务机构特色，由深圳市医防融合呼吸项目组专家集体讨论制定，旨在提升社区健康服务机构对哮喘的早筛、早诊能力，并提高基层医师哮喘规范化诊治和管理水平。【关键词】社区健康服务机构；哮喘；早筛；管理；临床路径【中图分类号】R562.25R472【文献标识码】AD0I:10.12114.issm.1007-9572.2022.0736深圳市医防融合呼吸项目组，深圳市呼吸系统重大疾病防治中心，深圳市社区卫生协会.深圳社区健康服务机构支气管哮喘早筛和规范管理路径（试行版）[J].中国全科医学，2023,26(3)：262-267.[www.chia即.nt]Shenzhen Group of Integrated Medical and Preventive Medicine Program for Respiratory Diseases,Shenzhen Center forthe Prevention and Treatment of Major Respiratory Diseases,Shenzhen Community Health Association.Early screening andstandardized management pathway for bronchial asthma in shenzhen community healthcare settings (trial version)[J].ChineseGeneral Practice,2023,26 (3):262-267Early Screening and Standardized Management Pathway for Bronchial Asthma in Shenzhen Community HealthcareSettings Trial Version Shenzhen Group of Integrated Medical and Preventive Medicine Program for Respiratory Diseases,Shenzhen Center for the Prevention and Treatment of Major Respiratory Diseases,Shenzhen Community Health AssociationCorresponding authors:WANG Lingwei,Chiefphysician;E-mail:limey@sina.comZHANG Danxia,Chief physician;E-mail:szd@163.com[Abstract Early screening,standardized diagnosis and treatment as well as effective management are keys to improvethe control level and quality of life in patients with bronchial asthma BA )a common chronic airway disease.Frequent acuteattacks of BA are associated with decreased quality of life,increased medical costs,and increased economic burden of patients.The management level of BA has increased in urban areas,but is still low in rural areas in China.To improve the level of earlyscreening and diagnosing BA in community healthcare settings,and to enhance primary physicians'capability of standardizeddiagnosis and management of BA,Shenzhen Group of Integrated Medical and Preventive Medicine Program for RespiratoryDiseases developed an early screening program and an standardized management pathway for BA after a group discussion based onrelevant BA guidelines and consensuses that are applicable to Shenzhen community healthcare settings.[Key words Community health services;Asthma;Early screening;Management;Critical pathways通信作者：王凌伟，主任医师；E-mail:imey@sin.com张丹霞，主任医师；E-mail:sz.zdx@163com本文数字出版日期：2022-11-15
