关于医学胸腔镜的NCCP-ICS联合基于共识的临床实践指南
Rakesh K Chawla1, Mahendra Kumar2, Arun Madan3
1Department of Respiratory Medicine, Critical Care and Sleep Disorders, Jaipur Golden Hospital and Saroj Super Speciality Hospital, New Delhi, India.
概括
医学胸腔镜 (MT) 改善了呼吸系统疾病的诊断和患者护理. 基于证据的指导方针现在帮助印度的肺病学家了解该程序的最佳实践.
科学领域:
- 肺部病理学 肺部病理学
- 胸部外科手术 胸部外科手术
- 医疗程序 医疗程序
背景情况:
- 医学胸腔镜 (MT) 是呼吸系统医生的常见手术.
- 它在患者管理中既有诊断作用,也有治疗作用.
- 需要为其在印度的应用制定基于证据的指导方针.
研究的目的:
- 为医疗胸腔镜的所有方面提供基于证据的信息.
- 为印度的肺病学家制定基于共识的指南.
- 引导MT作为诊断工具和治疗辅助工具的使用.
主要方法:
- 在PubMed,EmBase和Cochrane上进行了系统的文献搜索.
- 基于共识的指导方针是使用31个问题和多步骤过程来制定的.
- 修改后的分级系统被用来对证据质量进行分类.
主要成果:
- 医学胸腔镜提高了诊断和患者管理,同时降低了并发症风险.
- 刚性和半刚性MT技术的诊断产量是可比的.
- 无菌等级的滑石粉被推为化学性多症的理想剂.
结论:
- 开发的共识声明将帮助肺科医生采用基于证据的MT实践.
- 建议包括至少20个训练员能力的程序.
- 在胸部条件下,MT提供了更好的诊断准确性和治疗结果.
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