日前，国家食品药品监督管理局发布了公众用药现状调查报告，近8000份调查问卷显示，超两成被调查对象生病之后喜欢自己“问诊”，并且根据以往经验去选择药品。而由“家庭医生在线”开展的一项调查研究显示：83.2%的网民有网络问诊经验，其中34.2%的网民会向一些健康网站咨询 “头疼脑热等小病痛”，33.1%热衷于从网上获取日常保健知识。

a,State food and drug administration issued a public use present situation investigation report,Nearly 8000 questionnaires show,Over twenty percent of respondents after sick like yourself"interrogation",And according to the former experience to select drugs.by"Family doctor online"To carry out a survey study shows:83.2% of the netizens have network inquiry experience,34.2% of the netizens to some health web site consulting "Slight illness, and other small sickness",33.1% from the Internet to obtain daily health care knowledge.

　　网上自诊，靠谱吗？我省的临床药学专家认为，通过网络问诊看病，仍然是“隔空看病”的一种，对于医生和患者来说，这种模式对双方来说都有一定的隐患，有可能导致药物错用不良反应、抗生素滥用的不良结果。

Online self diagnostics,By spectrum??In clinical pharmacy experts say,Through the network inquiry the doctor,Is still"Every empty the doctor"a,For the doctor and patient speaking,This kind of mode for both parties have a certain hidden trouble,May lead to drug misuse adverse reaction/Antibiotics abuse of bad results.

　　病例 cases

　　上网寻感冒药致胃溃疡 The Internet search cold medicines to gastric ulcer

　　前几天，林女士感冒了，出现发烧、头痛等症状。作为一名智能手机控，她决定下载一款推荐药品的软件。根据自己的不适情况，林女士利用软件的“对症找药”功能，分别选择了感冒类别的“泰诺”和头痛类别的“阿司匹林”，将两种药混在一起服用了两天，感冒症状有所好转，但胃部痛疼。林女士只好到医院急诊，经检查，她得了胃溃疡。

A few days ago,Ms Lin caught a cold,Appear have a fever/Have a headache wait for a symptom.As a smartphone control,She decided to download one recommend drug software.According to their own discomfort situation,Ms Lin using the software"Suit for medicine"function,Choose the cold category respectively"tylenol"And headaches category"aspirin",Two kinds of medicine mixed together take two days,Cold symptoms improved,But the stomach pain.Ms Lin had to to a hospital emergency,Through inspection,She got gastric ulcer.

　　“这是一个典型的例子。”昆明医科大学第一附属医院临床药学中心主任医师张峻分析，同时服用“泰诺”和“阿司匹林”治疗感冒风险很大，等于累加了两种非载体抗炎药，最大的不良反应是对胃肠的刺激，会造成对胃黏膜的损伤，容易引起急性胃炎、溃疡发作，甚至对血液系统也有可能造成不良反应

"This is a typical example."The first affiliated hospital of kunming medical university, director of the center for clinical pharmacy physicians ZhangJun analysis,At the same time take"tylenol"and"aspirin"Treat a cold the risk is very big,Equal to the accumulator two non carrier anti-inflammatory drug,The biggest adverse reaction is to gastrointestinal stimulus,It will affect the gastric mucosa damage,Easy to cause acute gastritis/Ulcer attack,Even for the blood system also has the potential to cause adverse reaction

　　张峻说，即使是感冒药也不能随便吃，一般来说能单一用药的都不提倡联合用药，混合用药会导致药物过量，药物不良反应叠加，特别是对于儿童。

ZhangJun said,Even the cold medicine also can't literally eat,In general can be a single use of all don't advocate drug combinations,Mixed drugs can lead to drug overdose,Adverse drug reaction superposition,Especially for children.

　　调查 survey

　　就诊用药软件渐成新宠 See a doctor medicine software ChengXinChong gradually

　　记者在百度搜索引擎中输入“网上自诊”，立即显示出10多万个相关网页。在不同手机系统平台的下载市场中，只要输入“用药”二字，也会弹出几十种不同的相关软件。这些软件功能相当强大，除了能够查询药品的真伪、用药禁忌等之外，还能依据疾病的症状查询药物，甚至还有药物互相作用、实用小偏方等不同服务功能，吸引了众多网友关注。

Reporter in the baidu search engine input"Online self diagnostics",Immediately shows more than 10 a relevant web pages.In different mobile phone system platform download market,As long as the input"drug"Two words,Also will pop up dozens of different software.The software function quite powerful,In addition to inquires the veracity of the drug/Contraindication of the drugs for the outside, etc,Can also according to the symptoms of the disease inquires the drug,There are even drug interactions/Practical small folk prescription and so on the different service function,Attracted the numerous net friends to pay attention to.

　　“去医院看病，排队、挂号、交费、候诊，等轮到自己半天时间已经过去。可大夫就简单问一两句，开一堆药和检查单就打发了。”市民黄先生说，所以现在自己一遇到问题，只要不太严重就将自己的病在网上输入，很多回答比专家还详细。

"Go to hospital,queue/registered/fee/waiting,And his turn half time has passed.Can the doctor is simple to ask one or two,A pile of medicine and checklists sent the."Citizens Mr. Huang said,So now I encounter a problem,If it's not too serious will own disease in online input,Many experts also detailed answer than.

　　专家 experts

　　网上自诊用药都不靠谱 Online self diagnostics drugs are not by spectrum

　　“根据网上软件来自己配药的方式弊大于利，并不可取。”张峻说，上网给自己开药不靠谱，还是应该在专业人士的指导下来用药。

"According to the online software to their dispensing way more harm than good,Is not recommended."ZhangJun said,Surf the Internet to prescribe by spectrum,Or should be in the guidance of professional personage medicine down.

　　“即便是非处方药也需要在专业药师的指导下使用。”张峻说，医生为患者开药，要考虑每一种药的成分，还有药物在一起使用的相互作用以及不良反应。很多患者并不十分清楚自己的生理状况，比如感冒，是属于病毒性感冒、还是细菌性感冒，患者自己如果不清楚，网络也不会考虑患者有没有胃病等既往病历就直接开药。

"Even if is a prescription medicine also need in under the guidance of professional medicine use."ZhangJun said,The doctor to prescribe medicine for patients,To consider every kind of medicine composition,And drugs are used together in the interaction and adverse reaction.A lot of patients is not very clear own physical condition,Such as a cold,It is to belong to viral influenza/Or bacterial cold,The patient's own if not clear,The network also won't consider patients have stomach trouble, etc anamnesis directly prescribe.

　　“电子信息再发达，始终无法取代人脑。”张峻表示，虽然有的软件在设计上尽量详细地“询问病情”，但是电脑对疾病的诊断肯定还是不如医生当面询问，最后提供的参考药物不一定适合患者使用。此外，如果患者提供的相关信息不全，软件也可能出现错误提示。她提醒市民，出现身体不适，还是应该到正规的医院、诊所进行治疗，对症下药。

"Electronic information and developed,Always can't replace the human brain."ZhangJun said,Although some software in design in detail as far as possible"Inquiry condition",But the computer the diagnosis of disease was surely the as the doctor ask face to face,Finally provides the reference drug is not for the patient to use.In addition,If patients to provide related information is not complete,Software may also appear error message.She warns a citizen,Appear ill,Or should go to normal hospital/Clinic treatment,Suit the remedy to the case.

　　提醒 remind

　　网上自诊患者很难维权 Online since the patient is difficult to rights

　　据了解，“网上自诊”在维权上也存在不小的风险。医疗人士提醒，患者和医生之间形成的是一种合同法律关系，国家《医疗机构管理条例》等一系列法规规范了医疗行为，但网上诊断这种属于边缘的诊断方式，还没有明确的法律法规进行规范。在网络这个虚拟世界里自诊用药，一旦出现问题，患者将无法进行维权，责任也很难追究，相关部门也无法进行调查取证。最终患者将陷入维权无门的尴尬境地，而上医院看病和开药显然要安全可靠得多。王劲松

It is understood,"Online self diagnostics"In the rights protection, there is also a lot of risk.Medical personage warns,Patients and doctors is formed between a contract legal relationship,countries[The regulations on the administration of medical institutions]And a series of laws and regulations to standardize the medical behavior,But the online diagnosis this belongs to the edge of the diagnostic mode,Still no definite laws and regulations in order to regulate the.In this network virtual world self diagnostics drugs,When problems arise,Patients will not be able to rights,Responsibility shall be investigated for very hard also,The agency is also unable to investigate and collect evidence.Final patients will get into rights not embarrassing position,And on the hospital sees a doctor and prescribe obviously want to be safe and reliable than.Wang jinsong