There are the principle of managing in thermotherapies " Tight " It is " wide "

There are the principle of managing in thermotherapies " Tight " It is " wide "
There are the principle of managing in thermotherapies " Tight " It is " wide "
Staff reporter Li TianShu By way of heating, let tumour cells " injured " . This tumour treats the way, it already exceeds 40 years to use on clinic. "This is a riper and safer technology too, especially some thermotherapy. " The courtyard radiotherapy head of the department Professor Li YeXiong of tumour hospital of China's medicine says, "but why take, classify as clinical technology of Ministry of Public Health ' strict control ' one of? Mainly prevent technology from abusing. " In the clinic allowed to launch in Ministry of Public Health in the first batch should use the third kind of medical technology, the technology of tumur thermotherapy is included in it, and issued <>(hereafter referred to as " norm ") ,Define that has stipulated what hospitals, what doctors can launch this technology. Apparatus " tight " ,Personnel " wide " "The entry has reflected that there are ' wide ' characteristics. " Li YeXiong says. By the look of entry of medical organization, " norm " has delimited clear basic demand, stipulate second first grade and the above hospital could launch the technology of tumur thermotherapy, have health authorities to check and approve relevant subject of making a diagnosis of registration, also possess the food pharmaceuticals administration department above the province level and sanction the tumur thermotherapy apparatus used in clinical treatment. " norm " demands to launch the hospital of this technology at the same time, there must be two doctors with technological clinical practice ability of tumur thermotherapy at least. By the look of personnel's entry, " norm " requires the tumur thermotherapy doctor to have the clinical working experience made a diagnosis in tumour above for 3 years, have attending physician and the intersection of professional technique and the intersection of post and qualifications the above, examine qualified through corresponding the intersection of tumur thermotherapy and technical training. Other professional and technical personnels should undergo relevant knowledge and technical training of tumur thermotherapy too. The expert points out, according to entry, the requirements of organization and personnel are not harsh, have reflected " It is wide " Characteristic,last characteristic why thermotherapy security is high,and whether launch technology by current situation generally at tumour hospitals large and mediums domestic. But because of the reliance on the apparatus of technology, very " tight " in " norm " Regulation,meaning some "light workshop " Can't launch this technology. " norm " requires, launch the hospital of deep department thermotherapy of tumour and should possess the corresponding image and guide the apparatus, for instance supersound, CT or MRI and some temperature watch-dog,etc., and it is multi-functional to allocate and guard the appearance, can monitor electricity of heart, breathing, blood pressure, pulse, blood and oxygen saturation lever while heat of whole body treats. The most key one is, " norm " requires heat all over and treats the room and possesses the heart, lung, brain and rescues the ability of recovering, there are essential first aid apparatus and medicineses such as oxygen passway, anaesthesia machine, defibrillating device, aspirator,etc.. The technical management top " Heavy " Compare the entry of personnel, organization and apparatus, " norm " has reflected the requirement of supervising. Zhang FuJun of centre of prevention and cure of Zhongshan University's tumour points out, thermotherapy is regarded as a kind of supplementary means of tumour treatment, should defend abusing. " norm " requires, deep department thermotherapy must be implemented under the circumstances that the temperature is controlled, should deal with complication that may happen in time, should set up and amplify the technology of tumur thermotherapy to assess and follow up a case by regular visits to the system at the same time, and follow up a case by regular visits to, record according to the regulation. Medical organization and doctor want to accept regularly the technological clinical practice ability of tumur thermotherapy is verified, check the content includes the case is chosen, the quality of surviving the situation, postoperative patient management, patient happens, follow up a case by regular visits to situation and case quality etc. to treat efficient, serious complication, death case, malpractice. It is reported at present, heat treat heat way, have two mainly all over, namely infrared ray body surface shine and extracorporal circulatory system heat. And the latter's toxicity to kidney and cardiovascular system is or dangerous older than the former, inferior to the former in security. A lot of scholar propose extracorporal circulatory system of adopting heat treat the system go on the relevant clinical trial all over yet. Relevant tests show, about best temperature that heat treats at 42 �� all over of tumour. Though with the rising of the temperature or extension of time of the thermal effect, its curative effect is index increase, however, the body temperature will initiate a series of obvious physiological response after rising all over. Improve the therapeutic temperature and lengthen and treat time, will increase the therapeutic side effect and dangerous at the same time. Li YeXiong points out, thermotherapy though safety coefficient is relatively high, there is strict indication, what kind of tumour, what kind of patient are all suitable for thermotherapy, should avoid the bad consequence caused by applied fault of technology. The hospital where " norm " demands to launch tumur thermotherapy strictlies observe technological operation regulation and guide of making a diagnosis, master indication and taboo disease correctly. For example, some in poor health patients are not fit for thermotherapy, after the human body heats, have influence on organs such as the heart and lungs,etc., so the heart electricity is guarded very important. It is " human-oriented " to emphasize The reporter finds while reading " norm ", " norm " has emphasized the patient's rights and interests. Require the doctor to judge synthetically according to patient's condition and economic endurance,etc., to determine the healing solution. An expert points out, the radical cure skill not belonging to tumour of thermotherapy technology. As auxiliary treatment means, thermotherapy should be jointly used with chemotherapy, could get up to the good result. However, when specific medical organization and doctor are launching this technology, have not considered in terms of patient, after the patient carries on radiotherapy, recommend using thermotherapy, " bale " in treating Situation used. So " norm " has stressed patient's right of agreeing in the know, before demanding to implement the technology of tumur thermotherapy, the doctor should inform patient and its relative about treatment, risk, attentive matters, complication and precautionary measures,etc. that may take place, and signed the letter of consent in the know. Li YeXiong points out, thermotherapy is a technology with prospect, still a large number of foundations and clinical subjects remain to research and solve at present. " norm " will lead this technology to move towards normally and ripely better. Chain: Tumour dark the intersection of department and thermotherapy and heat treat technology mean adopting the physical method all over, make the temperature between area or whole body of tumour, tumour rise, pass a series of biological effect, make tumour cells damage, and unite radiotherapy or chemotherapy and carry on therapeutic technology. This technology includes dark department thermotherapy ' Regional thermotherapy) Until heat treat all over, physical factor that heat it include radio frequency, microwave, laser, supersound, electric capacity, getting electromagnetic, treat route, include, invade and pass physiology each,etc..


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