Interpretation of Guidelines for Primary Care of Cough 2018 in China from the Perspective of General Practice

doi:10.12114/j.issn.1007-9572.2019.00.502

Abstract

Abstract: Cough is one of the most common chief complaints in the clinical practice．Due to complicated etiology and therapy of cough，limited diagnosis tools and experience of primary care providers can cause misdiagnosis or overtreatment of cough．Guideline for Primary Care of Cough 2018 based on Cough Diagnosis and Treatment Guideline 2015 was initiated by Chinese Medical Association for the first time to meet the characteristics of primary care system and the needs of general medical practice，and promote the standardization of cough diagnosis and treatment for general practitioners.This article aims to give a brief interpretation to the Guideline about its important update，application and operability for general practitioners，expect to attract attention and discussion from general practitioners, and promote the implementation of the guidelines and cough research.

Key words: Cough, Guidebooks, Diagnosis, Therapy, General practice, Community health services

摘要： 咳嗽是临床最为常见的患者主诉，但其病因复杂，治疗手段多样，全科医生因诊断工具和经验所限，常出现误诊或过度治疗。中华医学会结合基层医院的特点和全科医务人员的需求，在《咳嗽的诊断与治疗指南（2015）》基础上，首次制定了中国《咳嗽基层诊疗指南（2018年）》，为促进全科医生规范化诊治咳嗽提供了更为详细全面的指导。本文就该指南的重要更新点、适用性及操作性进行简要解读，期望抛砖引玉，引发全科同道关注、讨论，促进指南落地实施和推动相关研究地开展。

关键词: 咳嗽, 指南, 诊断, 治疗, 全科医学, 社区卫生服务

TAN Wei,YANG Guili,HUANG Zhaolan. Interpretation of Guidelines for Primary Care of Cough 2018 in China from the Perspective of General Practice　[J]. Chinese General Practice, 2019, 22(33): 4035-4040. DOI: 10.12114/j.issn.1007-9572.2019.00.502.
谭伟,杨贵丽,黄招兰. 从全科医学的视角解读中国《咳嗽基层诊疗指南（2018年）》[J]. 中国全科医学, 2019, 22(33): 4035-4040. DOI: 10.12114/j.issn.1007-9572.2019.00.502.

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