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目的建立职业性慢性轻度镉中毒临床路径,促进临床路径在职业病临床领域的应用。方法选择职业性慢性轻度镉中毒为临床路径的病种,以GBZ 17—2015《职业性镉中毒的诊断》为基础,应用循证医学及专家咨询法,确定诊疗方案,制定临床路径文本,并初步推广应用。结果职业性慢性轻度镉中毒临床路径文本包括标准住院流程、临床路径表单和患者版临床路径告知书。初步临床验证显示,该路径能有效保障临床疗效、缩短住院时间和控制住院费用。结论职业性慢性轻度镉中毒临床路径合理可行,临床路径在职业病领域具有良好的临床应用前景。
Objective To establish a clinical pathway of occupational chronic mild cadmium poisoning and to promote the application of clinical pathway in the clinical field of occupational diseases. Methods Choosing occupational chronic mild cadmium poisoning as the clinical pathological pathogen, based on GBZ 17-2015 “Diagnosis of occupational cadmium poisoning”, using evidence-based medicine and expert consultation method to determine the diagnosis and treatment plan, formulating the clinical pathway text, And initially promote the application. Results The texts of the clinical pathways for occupational chronic mild cadmium poisoning included standard hospitalization procedures, clinical pathway forms, and patient version clinical pathway advisories. Preliminary clinical validation shows that the path can effectively protect the clinical efficacy, shorten the hospital stay and control the cost of hospitalization. Conclusion The clinical path of occupational chronic mild cadmium poisoning is reasonable and feasible. The clinical pathway has a good clinical application prospect in the field of occupational diseases.