Abstract: When encountering a panicked patient with metoclopramide-induced extrapyramidal reactions accompanied with family members，we used RICE （Reason-Idea-Concern-Expectation） skills，namely，detailedly analyzing the reasons for healthcare seeking，thoughts of the patient，concerns and expectations of the patient and her family members.By treatment based on this type of consultation，the anxieties and symptoms of the patient were relieved in a short period of time.Limited by the conditions of community health organizations （CHOs），general practitioners shall learn to solve problems in practice with simple methods，and improve the level of people's trust in the care delivered by CHOs with knowledge，technology and moral quality.
RICE inquiring；Metoclopramide；Extrapyramidal reaction；General practitioners

摘要： 本文以1例因服用甲氧氯普胺导致锥体外系反应的患者及家属惊慌就诊的过程为例，介绍了全科医生采用RICE问诊方法，通过分析患者就诊的原因、想法，关切患者及家属的担心和期望，在短时间内以简单的方法消除疑虑，为患者解除病痛。受基层社区服务机构的条件限制，广大全科医生应该学会用简单的方法来解决实际问题，用知识、技术和医德来提高群众对基层社区医疗机构的信任。

关键词: RICE问诊, 甲氧氯普胺, 锥体外系反应, 全科医生