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性传播疾病临床诊疗与防治指南(第二版)
$33.05
1. 目前,性传播疾病在我国流行趋势仍十分严峻。为指导这类疾病的防控及规范临床诊疗,编者于2007年编写出版了《性传播疾病临床诊疗指南》,于2014年将其更名为《性传播疾病临床诊疗与防治指南》,本次修订是在这本指南基础上的第二版。2. 新版指南在以下几个方面进行了更新。一是根据2016年以来国家卫生与健康委员会颁布的各种性传播疾病的*卫生行业诊断标准,对这些疾病诊断分类与要求进行了修订;二是阐述了核酸检测方法作为一些性病的重...
1. 目前,性传播疾病在我国流行趋势仍十分严峻。为指导这类疾病的防控及规范临床诊疗,编者于2007年编写出版了《性传播疾病临床诊疗指南》,于2014年将其更名为《性传播疾病临床诊疗与防治指南》,本次修订是在这本指南基础上的第二版。2. 新版指南在以下几个方面进行了更新。一是根据2016年以来国家卫生与健康委员会颁布的各种性传播疾病的*卫生行业诊断标准,对这些疾病诊断分类与要求进行了修订;二是阐述了核酸检测方法作为一些性病的重要诊断依据,如生殖道沙眼衣原体感染、淋病等;三是对梅毒的治疗方案进行了修订,特别是对神经梅毒的处理,强调了多学科协作治疗(MDT)的重要性。四是由于淋球菌耐药的新动向,对淋病的治疗方案进行了修改。五是随着临床研究的进展,对生殖道沙眼衣原体感染阿奇霉素单剂治疗方案提出了挑战,因此进行了更新。六是对生殖支原体的致病作用的认识日益加深,因此增加对生殖支原体感染的介绍。
本书根据2016年以来国家卫生与健康委员会颁布的各种性传播疾病的*卫生行业诊断标准对*版指南(2014年出版)进行了修订,内容包括性病临床诊疗过程的要求、性病预防服务、实验室检查方法及意义,重点介绍梅毒、淋病、生殖道沙眼衣原体感染、尖锐湿疣、生殖器疱疹、软下疳、性病性淋巴肉芽肿、阴道滴虫病、细菌性阴道病等12种性传播疾病的临床诊疗与防治方法。文字简明、语句精练、内容实用,旨在为性病临床和防治中处理各种性病提供指导性建议,也为性病流行病学监测和疫情报告提供依据。本书适合从事性病防治工作的管理者和防治人员,以及临床皮肤性病科、妇产科、泌尿科和其他相关学科医师参考使用。
王千秋,研究员,医学博士,博士生导师,任中国医学科学院皮肤病医院(研究所)、中国疾病预防控制中心性病临床防治室主任; 1983 毕业于上海医学院医学专业; 1997 毕业于中国协和医科大学皮肤性病学专业,获医学博士学位; 一直从事皮肤性病临床、研究、防治及教学工作。曾在美国、日本、加拿大等国做访问学者; 已培养博士研究生12名,硕士研究生1名。出版《性传播疾病临床诊疗指南》《性传播疾病临床诊疗与防治指南》《性传播疾病》等4部专著或工具书。
章临床诊疗
节病史采集 第二节体格检查 第三节实验室检查 第四节诊断 第五节治疗 第六节疫情报告 第七节随访 第八节转诊 第二章预防服务 节门诊宣传 第二节健康教育与咨询 第三节安全套使用促进 第四节性伴通知 第五节HIV与梅毒咨询检测 第六节临床医疗机构参与的外展服务
第三章实验室检查 节标本采集 第二节实验室检查方法及其临床意义 第四章特定疾病的临床处理 节梅毒 第二节淋病 第三节生殖道沙眼衣原体感染 第四节尖锐湿疣 第五节生殖器疱疹 第六节软下疳 第七节性病性淋巴肉芽肿 第八节滴虫病 第九节生殖器念珠菌病 第十节细菌性阴道病 第十一节生殖道支原体感染 第十二节阴虱病 附 录常用术语缩略词
目前,性传播疾病在我国流行趋势仍十分严峻。为指导对这类疾病的防控,规范临床诊疗,我们于2007年编写出版了《性传播疾病临床诊疗指南》,该书于2014年进行了修订,并更名为《性传播疾病临床诊疗与防治指南》(以下简称《指南》),受到广大医务人员和防治工作者的欢迎,多次重印。随着性传播疾病流行形势的变化,科学技术的发展,对其传播、发病机制、诊断、治疗有了新的认识,重新修订《指南》很有必要。因此,我们组织专家于2018年再次启动修订工作,并召开数次讨论会、定稿会,终于使新版《指南》以适应性传播疾病防治新要求的面貌问世。 新版《指南》在以下几个方面进行了更新。一是根据2016年以来国家卫生健康委员会颁布的各种性传播疾病的卫生行业诊断标准,对这些疾病诊断分类与要求进行了修订。二是阐述了核酸检测方法是一些性病的重要诊断依据,如生殖道沙眼衣原体感染、淋病等。三是对梅毒的治疗方案进行了修订,特别是对神经梅毒的处理,强调了多学科协作治疗(multiple disciplinary treatment, MDT)的重要性。四是基于淋球菌耐药新动向,对淋病的治疗方案进行了修改。五是随着临床研究的进展,对生殖道沙眼衣原体感染阿奇霉素单 剂治疗方案提出了质疑,因此相应的内容进行了更新。六是对生殖支原体致病作用的认识日益加深,因此增加对生殖支原体感染的介绍。此外还有一些更新和修改,不一一赘述。与上一版相同的是,在介绍每一种疾病的诊断依据时,对各项数据进行了编号,如1.1.1为流行病史,1.1.2为临床表现,之后在介绍“诊断分类”时,为了叙述简明扼要,直接使用了上述编号,即每个疾病的“诊断分类”与“诊断依据”中的编号是对应的,从而便于读者查阅。我们希望读者在使用《指南》的过程中提出建议和意见,以便今后进一步修改、完善。 《性传播疾病临床诊疗指南》(2007年)组编为中国疾病预防控制中心性病控制中心、中国医学科学院皮肤病研究所、世界卫生组织性传播疾病预防控制合作中心,主编为王千秋、张国成,副主编为姜文华、陈祥生、梁国钧、尹跃平、蒋娟、龚向东、韩国柱、杨凭、张传福,主审为徐文严、邵长庚,编委为王千秋、尹跃平、乐嘉豫、刘全忠、杨凭、杨斌、李珊山、吴音、张国成、张传福、陈祥生、邵长庚、林伯滢、周华、周平玉、郑和义、姜文华、骆丹、徐文严、龚向东、梁国钧、韩国柱、蒋娟。《性传播疾病临床诊疗与防治指南》(2014年)组编为中国疾病预防控制中心性病控制中心、中华医学会皮肤性病学分会、中国医师 协会皮肤科医师分会,主编为王千秋、刘全忠、徐金华,主审为王宝玺、张建中,编委为王千秋、王宝玺、尹跃平、田洪青、冯文莉、刘巧、刘全忠、齐淑贞、孙令、苏晓红、李文竹、李东宁、李珊山、杨帆、杨森、杨斌、杨立刚、何成雄、张建中、陈祥生、周平玉、郑和义、郑和平、段逸群、骆丹、徐金华、涂亚庭、龚向东、梁国钧、蒋娟、蒋法兴、韩建德、程浩、赖维。对上述专家为《指南》以往版本做出过的贡献表示衷心的感谢。 在新版《指南》的编写过程中,中国疾病预防控制中心性病控制中心临床防治室郑志菊、杜方智、张栩协助整理文稿,中国医学科学院医学与健康科技创新工程项目(2016-I2M-3021)提供了支持。在此一并致谢。 中国疾病预防控制中心性病控制中心 中华医学会皮肤性病学分会 中国医师协会皮肤科医师分会 二一九年七月
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