针对“儿童用药基本靠掰”，专家表示“儿科不是缩小了的成人医学” According to"Children's medicine basic depend to break",Experts say"Pediatric not miniature adult medicine"

8成家长曾给孩子吃过成人药 And as parents have given children had adult medicine

　　在日前举办的“2012儿科医师年会暨儿科发展论坛”上，专家提出，目前国内的儿科事业发展和人力资源严重不足，儿科医疗机构严重不足，儿科药品严重不足。同时，儿科服务体系尚不完善，社区和基层儿科服务缺乏，急需加强对儿科医学生的培养。

In the held a few days ago"2012 annual meeting and pediatricians pediatric development BBS"on,experts,At present domestic of the pediatric career development and human resources seriously insufficient,A serious shortage of pediatric medical institutions,A serious shortage of pediatric drugs.At the same time,Pediatric service system is not perfect,Community and grassroots pediatric lack of service,Need to strengthen the cultivation of pediatric medical students.

　　据了解，我国的儿科和儿科学经过几十年发展，已经形成了众多专业的学科体系，较高水平的儿科专业队伍和医学中心，在国际上的合作交流也日益频繁。但其面临的挑战依然严峻：据统计，我国现有儿童(0至14岁)总数约2.67亿，而儿科医师仅为6.1万名，如果按1/1000的比例估算，尚有20万名缺口，即使按0.5/1000的比例估算，也仍有7万余名缺口。伴随着2012龙年生育高峰，“儿科医疗资源配给不足”问题愈加突出，父母在为孩子“看病难”犯愁的同时，医院也压力重重。

It is understood,China's pediatrics and pediatrics through decades of development,Has formed many professional discipline system,A higher level of the pediatric professional team and medical center,In the international cooperation and communication is increasingly frequent.But the challenge is still severe:According to the statistics,China's current children(0 to 14 years old)Total about 267 million,While pediatricians is only 61000,If according to the proportion of 1/1000 estimate,There are 200000 gap,Even by 0.5/1000 scale estimation,Also there are still more than 70000 gap.With 2012 the year of the dragon baby boom,"Pediatric medical resources lack of rationing"Increasingly prominent problem,The parents for the child"See a doctor difficult"Worry at the same time,The hospital is stressful.

　　“儿童用药基本靠掰”，用成人的剂量直接减半给孩子服用已经成了不少家长的习惯。有调查数据显示，80%的患儿家长承认，曾给孩子服用过大人吃的药物。几乎所有患儿家长都认为，成人用药与小儿用药只是剂量大小的不同，只要注意减量，大人的药就可以用于小儿治病。

"Children's medicine basic depend to break",With adult dose directly by giving their children has become the habit of many parents.A survey data show,80% of parents admitted,Have given children taking adult eat drugs.Almost all parents think,Adults and children use drug just dose size is different,As long as pay attention to reducing,Adult medicine can be used to treat children.

　　对此，专家表示，小儿用药的剂量与成年人的用药剂量差异很大，有的不是简单地由体重推算出来，而是根据小儿的生理机能及对药品的敏感性确定，用量过小影响疗效，过大可能发生毒性反应。儿童处于生长发育期，组织器官尚未发育成熟，功能也不完善。与成人相比，若药物使用不当，更容易发生不良反应，甚至引起发育障碍，造成后遗症。以抗菌药为例，诺氟沙星、氧氟沙星、伊诺沙星、环丙沙星等，均可引起儿童关节病变和影响其软骨生长发育，故18岁以下青少年及儿童皆不宜使用。解热止痛药如安乃近也有导致过敏、虚脱、粒细胞减少、血小板减少性紫癜的副作用，严重者可引起再生障碍性贫血，故婴幼儿应慎用。

this,Experts say,Pediatric drug dose and adult dosage difference is very big,Some are not simply by weight calculated out,But according to children's physiological function and to determine the sensitivity of the drug,Amount is too small affect curative effect,Big possible toxic reaction.Children in the growth development period,Tissues and organs has not yet mature,Function is not perfect.Compared with adults,If the inappropriate use of drugs,More vulnerable to adverse reactions,Even cause developmental disorder,Cause sequela.With antibacterial as an example,norfloxacin/ofloxacin/Ino uptake/Ring c sand magnitude,All can cause children joint disease and affect the growth of cartilage,The teenagers and children under the age of eighteen is unfavorable use.Antipyretic painkillers like analgin also have cause allergies/collapse/granulocytopenia/Thrombocytopenic purpura side effects,Serious can cause aplastic anemia,The baby should be used.

　　中国医师协会副会长兼儿科医师分会会长朱宗涵透露，我国医学院校中的儿科系在1998年就撤销了，从此失去了儿科医生培养的基础，对儿科教育、科研和学术发展造成严重的不利影响。现在的儿科医生在学习阶段，大多学习的是基于成人医学的课程。当他们进入儿科住院医生培训时，对儿科学几乎毫无所知。这些学生成为儿科医生时，只知道儿科是成人医学中的缩小。“这是一个应该改变的状态。我们应该为儿科构建一个综合的学科体系，为学生提供一个完整的全面的医学教育。”(记者 代丽丽)

The Chinese medical doctor association vice-chairman concurrently pediatricians club President ZhuZongHan revealed,The department of pediatrics medical college in China in 1998, withdrew,Never without the pediatrician culture foundation,Pediatric education to/Scientific research and academic development cause serious adverse effect.Now the pediatrician in learning stage,Most of the study is based on adult medical courses.When they enter the pediatric hospital doctor training,Almost no couple scientific knowledge.These students to become the pediatrician,Only know pediatric is the miniature adult medicine."This is a state should be changed.We should for pediatric to construct a comprehensive discipline system,To provide students with a full comprehensive medical education."(Reporters and lily)