1
|
Yong-Hui Z, Zheng-Yuan Z, Wei-Cheng D. [Value and evaluation on multidisciplinary treatment of advanced schistosomiasis]. Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi 2016; 29:267-272. [PMID: 29469512 DOI: 10.16250/j.32.1374.2016104] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
Advanced schistosomiasis, encompassing a wide range of pathologic entities and multi-complications, poses a serious threat on the patients' health. Through comprehensive analysis and evaluation on related aspects regarding clinical classification, main methods of auxiliary examination and treatment (including types of surgical procedure) of advanced schistosomiasis, we think that the individual based multidisciplinary comprehensive treatment according to varying conditions of patients is the most optimal treatment mode of advanced schistosomiasis. It is further proposed that multidisciplinary collaborative diagnosis and treatment system should be undoubtedly established, multidisciplinary case discussions be regularly organized, and treatment expert teams be stably formed, in order to significantly improve the level of diagnosis and treatment of advanced schistosomiasis, so as to reduce the misdiagnosis and improve the therapeutic effect in advanced schistosomiasis control.
Collapse
Affiliation(s)
- Zhu Yong-Hui
- National Key Clinical Department of Schistosomiasis, Affiliated Xiangyue Hospital of Hunan Institute of Parasitic Diseases, Hunan Province, Yueyang 414000, China
| | - Zhao Zheng-Yuan
- Hunan Institute of Parasitic Diseases, WHO Collaborating Centre for Research and Control on Schistosomiasis in Lake Regions, China
| | - Deng Wei-Cheng
- National Key Clinical Department of Schistosomiasis, Affiliated Xiangyue Hospital of Hunan Institute of Parasitic Diseases, Hunan Province, Yueyang 414000, China
| |
Collapse
|
2
|
Wei-Cheng D, Yue-Yun Z, Guo-Jian D, Jia-Xin L, Yong-Hui Z, Hong-Bo W, Feng-Qiu L, Huai-Yu B, Guang-Hui R. [Discussion on multidisciplinary treatment mode of advanced schistosomiasis and its standardized implementation]. Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi 2016; 29:102-104. [PMID: 29469401 DOI: 10.16250/j.32.1374.2016153] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
Advanced schistosomiasis is the most serious clinical type of schistosomiasis. Its diagnosis and treatment are related to many special departments, such as gastroenterology, general surgery, neurology, endocrinology, radiology, traditional Chinese medicine, blood purification, endoscopy, intervention, and ICU. It is necessary to apply a multidisciplinary treatment (MDT) mode. However, the mode has no universal standard and guide in practice. It is very important for the implementation of MDT mode of advanced schistosomiasis to form a treatment expert team, formulate the formal working procedures, and standardize the treatment schedules. The standardized implementation of MDT mode will be important to provide a more effective clinical decision on advanced schistosomiasis.
Collapse
Affiliation(s)
- Deng Wei-Cheng
- Xiangyue Hospital, Hunan Institute of Parasitic Diseases; National Clinical Center for Schistosomiasis, Yueyang 414000, Hunan Province, China
| | - Zhang Yue-Yun
- Xiangyue Hospital, Hunan Institute of Parasitic Diseases; National Clinical Center for Schistosomiasis, Yueyang 414000, Hunan Province, China
| | - Ding Guo-Jian
- Xiangyue Hospital, Hunan Institute of Parasitic Diseases; National Clinical Center for Schistosomiasis, Yueyang 414000, Hunan Province, China
| | - Liu Jia-Xin
- Xiangyue Hospital, Hunan Institute of Parasitic Diseases; National Clinical Center for Schistosomiasis, Yueyang 414000, Hunan Province, China
| | - Zhu Yong-Hui
- Xiangyue Hospital, Hunan Institute of Parasitic Diseases; National Clinical Center for Schistosomiasis, Yueyang 414000, Hunan Province, China
| | - Wang Hong-Bo
- Xiangyue Hospital, Hunan Institute of Parasitic Diseases; National Clinical Center for Schistosomiasis, Yueyang 414000, Hunan Province, China
| | - Luo Feng-Qiu
- Xiangyue Hospital, Hunan Institute of Parasitic Diseases; National Clinical Center for Schistosomiasis, Yueyang 414000, Hunan Province, China
| | - Bao Huai-Yu
- Xiangyue Hospital, Hunan Institute of Parasitic Diseases; National Clinical Center for Schistosomiasis, Yueyang 414000, Hunan Province, China
| | - Ren Guang-Hui
- Xiangyue Hospital, Hunan Institute of Parasitic Diseases; National Clinical Center for Schistosomiasis, Yueyang 414000, Hunan Province, China
| |
Collapse
|
3
|
Wei-Cheng D, Ding-Hua B, Zhi-Jian L, Yong H, Yi D, Yong-Hui Z, Jia-Xin L, Yue-Yun Z, Guo-Jian D, Guang-Hui R, Zhi-Hong L, Xing-Biao L. [Management strategy and technology of medical assistance to advanced schistosomiasis patients in Hunan Province]. Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi 2016; 28:594-595. [PMID: 29469503 DOI: 10.16250/j.32.1374.2016052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
The medical assistance to advanced schistosomiasis patients established by the Chinese government is a major public facility for patients with advanced schistosomiasis. Since the medical assistance to advance schistosomiasis patients in Hunan Province started ten years ago, a set of mature and operable programs with whole program management and related technologies has been developed. The author investigated the data on medical assistance to advanced schistosomiasis patients in Hunan Province during the last 10 years (from 2006 to 2015) retrospectively, and found that the program had high therapeutic effect and high satisfaction degree of both patients and the society. In order to improve the management of the medical assistance to advanced schistosomiasis patients and share our experiences of the whole program management and related technologies with the colleagues of other provinces, this paper mainly illustrates the experiences of the program, as well as the existing problems and related strategies.
Collapse
Affiliation(s)
- Deng Wei-Cheng
- Xiangyue Hospital, Hunan Institute of Parasitic Diseases, Yueyang 414000, China
| | - Bai Ding-Hua
- Yueyang Municipal Schistosomiasis Specialist Hospital, Hunan Province, China
| | - Li Zhi-Jian
- Changde Institute of Schistosomiasis Control, Hunan Province, China
| | - He Yong
- Yiyang Municipal Schistosomiasis Specialist Hospital, Hunan Province, China
| | - Deng Yi
- Xiangyue Hospital, Hunan Institute of Parasitic Diseases, Yueyang 414000, China
| | - Zhu Yong-Hui
- Xiangyue Hospital, Hunan Institute of Parasitic Diseases, Yueyang 414000, China
| | - Liu Jia-Xin
- Xiangyue Hospital, Hunan Institute of Parasitic Diseases, Yueyang 414000, China
| | - Zhang Yue-Yun
- Xiangyue Hospital, Hunan Institute of Parasitic Diseases, Yueyang 414000, China
| | - Ding Guo-Jian
- Xiangyue Hospital, Hunan Institute of Parasitic Diseases, Yueyang 414000, China
| | - Ren Guang-Hui
- Xiangyue Hospital, Hunan Institute of Parasitic Diseases, Yueyang 414000, China
| | - Luo Zhi-Hong
- Xiangyue Hospital, Hunan Institute of Parasitic Diseases, Yueyang 414000, China
| | - Li Xing-Biao
- Hunan Provincial Office of Leading Group for Schistosomiasis Control, China
| |
Collapse
|
4
|
Wei-Cheng D, Ding-Hua B, Zhi-Jian L, Yong H, Guo-Jian D, Yong-Hui Z, Jia-Xin L, Qun-Shan J, Hong-Bo W, Guang-Hui R, Yi D. [Diagnosis and treatment of imported African schistosomiasis]. Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi 2016; 28:472-474. [PMID: 29376300 DOI: 10.16250/j.32.1374.2016005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
This paper summarizes the clinical diagnosis and treatment of imported African schistosomiasis, in order to make the therapeutic standards. Imported African schistosomiasis includes mainly schistosomiasis haematobia and schistosomiasis mansoni in China. In order to set up the operational standards, enhance diagnostic and cure rates, and reduce the complications, we review the related literature combined with our experience over years, and summarize, in this paper, the pathogenic mechanism, and key points of clinical diagnosis and treatment of schistosomiasis haematobia and schistosomiasis mansoni, so as to provide the reference for clinical doctors.
Collapse
Affiliation(s)
- Deng Wei-Cheng
- Hunan Institute of Parasitic Diseases, Yueyang 414000, China
| | - Bai Ding-Hua
- Yueyang Municipal Schistosomiasis Specialist Hospital, Hunan Province, China
| | - Li Zhi-Jian
- Changde Institute of Schistosomiasis Control, Hunan Province, China
| | - He Yong
- Yiyang Municipal Schistosomiasis Specialist Hospital, Hunan Province, China
| | - Ding Guo-Jian
- Hunan Institute of Parasitic Diseases, Yueyang 414000, China
| | - Zhu Yong-Hui
- Hunan Institute of Parasitic Diseases, Yueyang 414000, China
| | - Liu Jia-Xin
- Hunan Institute of Parasitic Diseases, Yueyang 414000, China
| | - Jing Qun-Shan
- Hunan Institute of Parasitic Diseases, Yueyang 414000, China
| | - Wang Hong-Bo
- Hunan Institute of Parasitic Diseases, Yueyang 414000, China
| | - Ren Guang-Hui
- Hunan Institute of Parasitic Diseases, Yueyang 414000, China
| | - Deng Yi
- Hunan Institute of Parasitic Diseases, Yueyang 414000, China
| |
Collapse
|
5
|
Jia-Xin L, Rui-Hong Z, Wei-Cheng D, Jie P, Lu Z, Ling L, Zhi-Wei S, Mei-E L. [Investigation of direct medical expense for surgical patients with splenomegalic advanced schistosomiasis in Hunan Province from 2010 to 2014]. Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi 2016; 28:365-369. [PMID: 29376274 DOI: 10.16250/j.32.1374.2015247] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
OBJECTIVE To understand the direct medical expense for surgical patients with splenomegalic advanced schistosomiasis and its influencing factors, so as to provide evidences for relevant departments to improve the rescue strategy of advanced schistosomiasis. METHODS The data about the expenses of patients with splenomegalic advanced schistosomiasis hospitalized in Xiangyue Hospital affiliated to Hunan Institute of Schistosomiasis Control from January 2010 to August 2014 were collected, the hospitalization expense and hospital stays of the patients were analyzed, and the factors influencing the hospital expenses were analyzed by the univariate and multi-factor analyses. RESULTS From January 2010 to August 2014, totally 249 cases were hospitalized in the hospital, their average hospital stays and hospital expenses were 28.92 d and 18 896.13 Yuan, and both of them were increased year by year. Among all the kinds of expenses, the constitution ratios of the medicine expenses were the highest, and those in the 5 years were all above 44%. The results of the univariate and multi-factor analyses showed that the hospital stays, the amount of intraoperative bleeding, liver function classification, postoperative complications, age, portal hypertensive gastropathy were the influencing factors of the hospital expenses. CONCLUSIONS Presently, the burden of the direct hospital expenses of the patients with splenomegalic advanced schistosomiasis is still heavy. The government should further improve the proportion of the compensation of medical assistance and perfect the medical aid scheme. Meanwhile, the hospitals should strengthen the management and standardize medical behavior to reduce the hospitalization expenses of the patients.
Collapse
Affiliation(s)
- Liu Jia-Xin
- Affiliated Xiangyue Hospital of Hunan Institute of Parasitic Diseases, Hunan Province, Yueyang 414000, China
| | - Zhou Rui-Hong
- Affiliated Xiangyue Hospital of Hunan Institute of Parasitic Diseases, Hunan Province, Yueyang 414000, China
| | - Deng Wei-Cheng
- Affiliated Xiangyue Hospital of Hunan Institute of Parasitic Diseases, Hunan Province, Yueyang 414000, China
| | - Pan Jie
- Affiliated Xiangyue Hospital of Hunan Institute of Parasitic Diseases, Hunan Province, Yueyang 414000, China
| | - Zhou Lu
- Affiliated Xiangyue Hospital of Hunan Institute of Parasitic Diseases, Hunan Province, Yueyang 414000, China
| | - Liu Ling
- Affiliated Xiangyue Hospital of Hunan Institute of Parasitic Diseases, Hunan Province, Yueyang 414000, China
| | - Shao Zhi-Wei
- Affiliated Xiangyue Hospital of Hunan Institute of Parasitic Diseases, Hunan Province, Yueyang 414000, China
| | - Liu Mei-E
- Affiliated Xiangyue Hospital of Hunan Institute of Parasitic Diseases, Hunan Province, Yueyang 414000, China
| |
Collapse
|