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银屑病的慢病管理

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银屑病是一种常见的慢性自身免疫性疾病,病情迁延难愈、影响美观,对患者的生活质量和心理健康造成了严重影响.此外,银屑病还常累及多种共病,如关节炎、代谢综合症、心血管疾病、精神心理疾病等,约57.9%的银屑病患者至少合并 1 种银屑病共病.针对以上,对银屑病及其共病的长期治疗与管理尤为重要.慢病管理是一种系统性的治疗模式,通过管理疾病的根本原因和风险因素来维持患者的健康状态.本文阐明了银屑病及其共病的综合慢病管理方案的重要性,介绍了规范化诊疗中心的建设、达标治疗理念的引入以及远程医疗技术的应用在银屑病慢病管理中的实施.同时,围绕政策因素和卫生经济学对银屑病慢病管理的进一步优化展开讨论.
Chronic Disease Management of Psoriasis
Psoriasis is a common chronic autoimmune disease,which is difficult to cure,affects the appearance,and has a serious impact on the quality of life and mental health of patients.In addition,psoriasis is often associated with a variety of comorbidities,such as arthritis,metabolic syndrome,cardiovascular disease,mental and psychological diseases,and about 57.9%of patients with psoriasis have at least one comorbidity.In view of the above characteristics,the long-term treatment and management of psoriasis and its comorbidities are particularly important.Chronic disease management is a systematic treatment model to maintain the health status of patients by managing the underlying causes and risk factors of diseases.This article illustrates the importance of a comprehensive chronic disease management program for psoriasis and its comorbidities.This paper introduced the construction of the standardized diagnosis and treatment center,the introduction of the concept of treat-to-target,and the application of telemedicine technology in the management of chronic psoriasis.At the same time,the further optimization of chronic disease management of psoriasis was discussed based on policy factors and health economics.

PsoriasisComorbidityChronic disease managementStandardized diagnosis and treatment centersTreat-to-target

饶诗彤、柴宝、刘晓明、梁燕华、张景瑜、陈宏翔

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华中科技大学同济医学院附属协和医院皮肤科,湖北武汉 430022

武汉科技大学 湖北武汉 430065

华中科技大学协和深圳医院/深圳市南山区人民医院皮肤科,广东深圳 518052

深圳大学第六附属医院,广东 深圳 518052

南方医科大学深圳医院皮肤科,广东 深圳 518101

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银屑病 共病 慢病管理 规范化诊疗中心 达标治疗

国家自然科学基金面上项目深圳市基础研究专项(自然科学基金)基础研究面上项目南山区卫生健康系统科技重大项目

82173423JCYJ20210324112213036NSZD2023007

2024

皮肤科学通报
西安交通大学

皮肤科学通报

CSTPCD
影响因子:0.273
ISSN:1001-8077
年,卷(期):2024.41(1)
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