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慢性乙肝之医患沟通--亲稳舆论引导监测室
2013-05-02

    慢性乙肝治疗能否停药取决于采用哪种治疗方案以及患者对治疗的应答情况,这其中离不开患者和医生的配合和共同努力。对此,上海公共卫生中心巫善明教授指出,慢性乙肝患者在深入了解疾病知识的同时,应当与医生保持积极沟通,明确自身病情,从而可以更好地配合医生确定最适合自身的治疗策略。

    Chronic hepatitis b treatment discontinuation depends upon what the treatment plan and response to therapy in patients with conditions,This cannot leave the patients and doctors to cooperate and work together.For this,Shanghai public health center WuShanMing professor pointed out,In patients with chronic hepatitis b (CHB) have a thorough understanding of disease knowledge at the same time,Should keep active communication with the doctor,Clear her condition,In order to better cooperate with doctors determine the most suitable for their own treatment strategies.

    在门诊就诊时,患者和医生沟通的时间非常有限。对患者而言,一方面需要了解慢性乙肝治疗的相关知识,另一方面,要主动把握与医生沟通病情的机会同时阐明自己的需求,因此,要抓紧时间说出自己的想法,提出自己最关心的问题,巫善明教授建议慢性乙肝患者可以这样与医生沟通:

    In a clinic,Patient and the doctor communication time is very limited.For patients with,On the one hand, need to understand the treatment of chronic hepatitis b related knowledge,On the other hand,To take the initiative to grasp the chance communicate with doctor's condition at the same time to clarify your needs,so,To take the time to say what they think,Make the most issue of concern,Professor WuShanMing suggested that patients with chronic hepatitis b can communicate with the doctor:

    1. “实现停药的标准是什么?”

    1. "What is standard of realization of drug withdrawal?"

    这个问题可以帮助患者了解慢性乙肝的治疗目标,有助于患者明确目前治疗所处的阶段,并引导患者追求适合自身的治疗目标。

    This problem can help patients to understand the chronic hepatitis b treatment goals,Help clear in patients with the treatment phase,And guide patients suitable for own treatment goal.

    2. “我能否在有限疗程内尽快实现停药不复发?”

    2. "I will as soon as possible within the limited period of treatment discontinuation don't relapse?"

    很多患者认为慢性乙肝治疗是需要终身服药的。其实采取合适的治疗方法,部分患者完全可以在1-2年内实现停药不复发。这个问题可以帮助患者充分地表达自身的治疗需求,进而更有针对性地制订治疗策略。

    Many patients think is need lifelong medication therapy for chronic hepatitis b.In fact take appropriate treatment,Some patients can achieve drug withdrawal in 1 to 2 years without recurrence.This problem can help patients fully express their treatment needs,And thus more targeted treatment strategy.

    3. “有没有更好的治疗方案可以帮助我实现停药不复发?”

    3. "Is there a better stop drug treatments can help I realize not relapse?"

    很多服用口服抗病毒药物患者,长期服药抑制病毒取得了一定的成效。如何追求更高的治疗目标?这个问题可以帮助患者从医生那里获得正确的个性化指导。

    A lot of patients taking oral antiviral drugs,Taking medicine for a long time suppress the virus has obtained certain results.How to pursue a higher goal of treatment?This problem can help patients get the correct personalized guidance from a doctor.

    据悉,最新的2012年版欧洲肝病年会(EASL)《慢性乙型肝炎病毒感染诊治指南》明确推荐:对于“大三阳”患者,实现e抗原血清学转换的最佳治疗方案是接受长效干扰素治疗;而对于“小三阳”患者,为实现有限疗程治疗停药后持久应答,也推荐选择长效干扰素的治疗。 乔闳 本版图片 TP

    It is understood,The latest annual meeting 2012 European liver disease(EASL)[Guide for diagnosis and treatment of chronic hepatitis b virus infection]A clear recommendation:for"Big 3 this world"In patients with,Achieve the e antigen seroconversion is the best treatment plan of long-acting interferon therapy;And for"Small 3 this world"In patients with,In order to achieve limited course lasting response after discontinuation of treatment,Also recommend choose long-acting interferon treatment. TP Qiao Hong benban images


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