以循證醫(yī)學(xué)為基礎(chǔ)的健康體檢-文庫吧資料
2025-01-10 04:55本頁面
【正文】 ? ?可以成功篩查的最好例子之一； ?篩查方法：巴氏涂片 ? 敏感度： 5580%； ? 特異度：高于 90%； ?篩查建議：有過性生活，有子宮頸的婦女，從 18歲開始，至少每 3年做一次巴氏涂片檢查。 ? 退行性關(guān)節(jié)病 。 ? 高脂血癥 。 25到 64歲 :篩查 ? ?篩查的意義 :肥胖導(dǎo)致下列疾病的發(fā)病率增高 : ? 糖尿病 。 ?篩查間隔 : ? ―正常”血壓的患者 每 2年 。63:51322 25到 64歲成人健康體檢 ? 體檢分類： ? 篩查； ? 咨詢； ?免疫接種； ? 化學(xué)預(yù)防 ? 體檢間隔： ?每年或每兩年；（也有專家建議男性每 5年，女性每 35年檢查一次身體） 25到 64歲 :篩查 ? :所有人定期檢查項目 。 Specificty: 敏感性 —特異性 Disease No Disease + Test Value Disease No Disease Ideal:理想的 Reality:現(xiàn)實的 Principles of Screening 篩查原則 篩查的精確性 Accuracy of the screening test 風(fēng)險和利益 Risks and Benefits 循證醫(yī)學(xué)方法 EBM approach A.— The USPSTF strongly remends that clinicians provide [the service] to eligible patients. The USPSTF found good evidence that [the service] improves important health outes and concludes that benefits substantially outweigh harms. B.— The USPSTF remends that clinicians provide [this service] to eligible patients. The USPSTF found at least fair evidence that [the service] improves important health outes and concludes that benefits outweigh harms. C.— The USPSTF makes no remendation for or against routine provision of [the service]. The USPSTF found at least fair evidence that [the service] can improve health outes but concludes that the balance of benefits and harms is too close to justify a general remendation. D.— The USPSTF remends against routinely providing [the service] to asymptomatic patients. The USPSTF found at least fair evidence that [the service] is ineffective or that harms outweigh benefits. I.— The USPSTF concludes that the evidence is insufficient to remend for or agains
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