Second liver needs keep within limits " excessive diagnosis and treatment "

DNA of second liver virus still has a lot of immature things, do not suit to use extensively at patient of liver of clinical 　 second to often have such experience: At first is not worth as a result of experience, understanding is insufficient, cure took many roundabout way, credulous advertisement and " folk prescription " , " proved recipe " , see a doctor at certain and individual hospital or clinic, cost by tens of thousands, but final grain is not had close. Convert other hospital again later, but many examination project and high remedial cost, make the patient bears hard. Some patients use normal combination to fight virus to treat plan: Interferon combines rummy husband to decide, a period of treatment comes down, charge of expenses medical treatment more than 20000 yuan, but the effect also is like person meaning very much. The diagnosis and treatment of year in year out of second liver patient, sufficient can make its send deficient due to illness, lose a family fortune make a diagnosis and give treatment of; second liver is faced with diagnostic project ceaseless face-lifting, curative content emerges in endlessly, charge of patient diagnosis and treatment involves the state that promote ceaselessly. 10 old before, patient at best makes liver of a few second " two half-and-half " examination and B exceed an examination, treat a few kinds of medicaments with not only much amount to, expenditure is less also, but the examination project nowadays and use medicaments items are various, but curative effect changes hardly, contagion must review the existence in process of second liver diagnosis and treatment from personnel of course of study " excessive diagnosis and treatment " phenomenon. In last few years, in second liver make a diagnosis and give treatment " the market " go up the way that is put in a kind of mistake and view, it is agitate patient DNA of virus of liver of frequent examination second is mensurable, each district is arisen and acclaim DNA of second liver virus to detect wantonly, say to be able to know contagious size and remedial effect through mensurable examination. Current, use PCR method often to detect DNA of second liver virus has been become " vogue " , a lot of places and hospital are contended for begin. DNA of second liver virus detects can be judged by described as infectivity loses by force and treat effect stand or fall " golden index " . DNA of second liver virus detects need expenditure RMB is controlled 200 yuan, some patients want virus of assay second liver one year tens of second, observe the change of numerical value of DNA of second liver virus repeatedly, want hard what to discover from which... 302 hospitals affect 　 liberation army M.d. Liu Shijing says 7 divisions, up to now, DNA of second liver virus still has a lot of immature things, do not suit to be used extensively at clinical. Second liver patient does not divide ground of green red black and write to be checked, it is a kind of waste actually. Second liver diagnosis and treatment " excessive " the phenomenon is commonner 　 is alleged " excessive diagnosis and treatment " , it is excessive apply exceed a disease to make a diagnosis and give treatment the method of diagnosis and treatment of basic requirement, do not need the examination rigid inspection that make, the medicaments rigid that does not need to use is used, usable but item of unused make a diagnosis and give treatment is same undertake, these are belonged to " excessive diagnosis and treatment " . The doctor that occupy Liu introduces, our country is used every year at the charge of second liver diagnosis and treatment to exceed 50 billion RMB, according to not complete count, among them 20% the left and right sides is belonged to " excessive diagnosis and treatment " , these " excessive diagnosis and treatment " the pecuniary loss that makes patient incur tremendous, also make sickness treatment becomes complex at the same time, the illness is possible more serious. The data shows, the occurence rate of harmful response is inpatient medicaments 10%~20% , and excessive using drug is to bring about medicaments of harmful response advocate so one. According to estimation, occupy of patient of liver of a second the hospital such as 3 stage shell, funds of be in hospital of average per capita should exceed 10 thousand yuan commonly, day all is controlled 500 yuan. Patient of liver of second of an outpatient service makes a diagnosis and give treatment cost is average 650 yuan. Patient's condition of second liver patient is long treat do not heal, diagnosis and treatment of year in year out is ceaseless, in these expenditure, there is no lack of " excessive diagnosis and treatment " composition. Second liver " excessive diagnosis and treatment " expressional 　 one, examination project is increasing, examination project is finer and finer. Index of second liver virus is amounted to 20 a variety of (comprise gene of second liver virus cent wait for) with gene mutation, liver fiber changes target 5 above, liver work series more than 10, index of reflective immunity function more than 10, albumen electrophoresis, hematic convention, b exceeds reach CT to wait video groovy examination still needs when learning to check; inpatient to be admitted to hospital AIDS, venereal wait for index, in case certain disease produced the infection outside the courtyard. If want a word that these projects become,need thousands of yuan. Actually, each patient does not need to make these index, also not be a patient every time further consultation with a doctor should be checked afresh, answer to choose the examination that must have according to the actual condition of every patient however. Regretful is, in actual and clinical practice, truly many patient year in year out are being accepted a few additional, need not often the load that assay checks. Generally speaking, if the patient did not undertake special disease-resistant poison is treated, not was necessary to check index of second liver virus and virus mutation index often. 2, projects of a few not quite mature diagnosis and treatment are used at clinical, methods of a few relatively mature, effective diagnosis and treatment however by oversight. It is accepted that second liver vaccine is used at treating second liver, but many places are arousing vaccine of liver of patient attempt second combines other remedy to wait like Pan Shengding, treat the person that second liver virus is carried and second liver patient, these try actual and clinical value and not quite. 3, blind angle is tall, essence, pointed. Patient's condition of second liver patient is stable, not special and unwell, be aroused to undertake CT and scrutator of nuclear magnetic resonance however, also there is no lack of have. Sometimes the convention that CT examination becomes chronic hepatitis and liver cirrhosis inspects an item, actual and electropositive check goes out rate is very low, the patient pays fee very tall however. 4, many medicine advertisement and method of medical sales promotion, make the patient bears to overmuch medicaments overlaps and change medicine often to bring " excessive diagnosis and treatment " . All sorts of sales promotion activities of medicine, make the footing that a few doctors chose to lose justice with medicine, a few usable but unused project and medicaments, the likelihood can be added in the; on patient body and the patient often also is unable to bear or endure medicaments advertising conduct propaganda is alluring, buy a few curative effect not the medicaments of beautiful is used repeatedly.