China News Service, January 6. According to the website of the National Health and Medical Commission, in order to further improve the medical treatment of new coronavirus infection and effectively improve the level of standardized and homogeneous diagnosis and treatment, the National Health and Health Commission and the State Administration of Traditional Chinese Medicine, according to the new crown Relevant requirements for the optimization and adjustment of virus infection Class B management and epidemic prevention and control measures, combined with the characteristics of the Omicron mutant strain and the disease characteristics of the infected person, the organization revised the "New Coronavirus Pneumonia Diagnosis and Treatment Program (Trial Ninth Edition)" , Formed the "New Coronavirus Infection Diagnosis and Treatment Program (Trial Version 10)".

The key revisions are as follows:

　　1. The name of the disease has been adjusted

　　According to the "Overall Plan for the Implementation of "Class B and B Management" for Novel Coronavirus Infection" by the Comprehensive Group of the Joint Prevention and Control Mechanism of the State Council, the name of the disease was changed from "Novel Coronavirus Pneumonia" to "Novel Coronavirus Infection".

The main consideration is that in the early stage of the epidemic, the pathogenicity of the new coronavirus is relatively strong, and most of them have clinical manifestations of pneumonia.

As the new coronavirus continues to mutate, after the Omicron strain becomes the main epidemic strain, the pathogenicity of the virus weakens, and the main symptoms of the infected human body are cough, fever, sore throat, etc. Only a small number of infected people will develop pneumonia.

Therefore, "new coronavirus infection" can more accurately reflect the characteristics of the disease.

　　2. No longer judge "suspected cases"

　　With the increasing variety of diagnostic methods and the continuous improvement of diagnostic efficiency, the current novel coronavirus infection can be diagnosed in a timely, rapid and accurate manner through nucleic acid and antigen detection.

In most cases, there will be no cases where the epidemiological history and clinical manifestations conform to the characteristics of the disease but the etiology cannot be clarified for a long time.

Therefore, in order to further improve the efficiency of clinical diagnosis and treatment, and better achieve rapid admission and treatment, the tenth version of the plan no longer judges "suspected cases".

　　3. Increase the positive detection of new coronavirus antigen as a diagnostic standard

　　Antigen detection has better detection sensitivity for infected persons with higher viral load.

With the continuous maturity of antigen detection technology and the continuous improvement of detection accuracy, people infected with the new coronavirus, especially those with strong infectiousness, can be diagnosed in time through antigen detection.

And considering that most infected people are treated at home, antigen detection is easy to operate, and it is convenient for infected people to perform rapid self-testing.

Therefore, the tenth version of the diagnosis and treatment plan added "positive detection of new coronavirus antigen" to the diagnostic criteria.

　　4. Further optimize the "clinical classification"

　　From the perspective of clinical manifestations of the disease, the common type generally represents the most common typical manifestations of the disease.

The early pathogenicity of the new coronavirus is strong, and a considerable number of infected people have typical pneumonia manifestations. Therefore, the classification method of "light, common, severe, and critical" is adopted in the clinical classification.

With the continuous mutation of the virus, especially since the Omicron strain became popular, the pathogenicity of the virus has gradually weakened, and the characteristics of the disease have changed significantly. Most infected people have mild symptoms, and the proportion of pneumonia has dropped significantly.

In order to better reflect the characteristics of the disease, the tenth version of the plan adjusted the clinical classification, mainly according to the severity of the disease of the infected person, and divided them into "light, medium, severe, and critical", which is more in line with clinical reality.

　　5. Cases are no longer required to be "centralized for isolation and treatment"

　　With the implementation of Class B and B control measures, people infected with the new coronavirus can choose to receive treatment at home or go to a medical institution according to the needs of the treatment of the disease, and various medical institutions can treat people infected with the new coronavirus.

For this reason, the tenth version of the plan adjusts the treatment strategy according to the time and situation, and no longer requires cases to be isolated and treated in a centralized manner.

　　6. Further improve the treatment method

　　The first is to incorporate the anti-new coronavirus treatment drugs that have been approved for marketing in my country into the new version of the diagnosis and treatment plan to further enrich the anti-viral treatment methods.

The second is to further improve the diagnostic criteria and early warning indicators for severe and critical cases, and scientifically and accurately judge severe cases of new coronavirus infection. After the activity, the oxygen saturation monitoring indicators and other indicators were added to the early warning indicators of severe illness.

The third is to further strengthen the concept of co-treatment of new coronavirus infection and basic diseases, emphasizing the need to strengthen the monitoring of indicators related to basic diseases of infected persons, and provide corresponding treatment for basic diseases, which is more conducive to promoting the comprehensive recovery of patients.

The fourth is to further optimize the clinical manifestations and treatment related content of children's cases, put forward the characteristics of children's infection with Omicron strain in combination with clinical practice, and improve the early warning indicators of severe cases in children, and the acute laryngitis that may occur in children infected , neurological complications and other special cases provide treatment options.

The fifth is to further improve the relevant content of traditional Chinese medicine treatment.

The guidance of traditional Chinese medicine treatment for severe and critical cases has been strengthened, and the methods of medication according to the symptoms have been added to be more clinically relevant.

On this basis, further improve the TCM treatment plan for children's cases, add acupuncture and moxibustion treatment methods, and provide corresponding TCM treatment measures in consideration of the obvious cough of some patients during the recovery period.

　　Seven, adjust the "discharge standard"

　　After the implementation of Class B and B control measures for new coronavirus infection, the isolation management of infected persons will no longer be strengthened, but they can be diagnosed and treated as Class B infectious diseases.

For this reason, the tenth version of the plan no longer requires nucleic acid test results when infected patients are discharged from the hospital. Instead, clinicians will conduct comprehensive research and judgment based on the patient's new coronavirus infection, diagnosis and treatment of underlying diseases or other diseases, and health recovery status.

　　When the patient's condition is significantly improved, the vital signs are stable, the body temperature is normal for more than 24 hours, the lung imaging shows that the acute exudative lesions have improved significantly, and oral drug treatment can be switched to, and there are no complications that require further treatment, etc., discharge can be considered. .

　　8. Adjustment of infection prevention and control in medical institutions

　　After the adjustment of the epidemic prevention and control policy, all medical institutions may receive cases of new coronavirus infection. In the tenth version of the diagnosis and treatment plan, we have adjusted the content of infection prevention and control in medical institutions to make the infection prevention and control measures more scientific and accurate. , more targeted and operable.

The first is to further implement the outpatient and emergency pre-examination and triage system, and do a good job in patient triage.

At the same time, instruct patients and accompanying personnel to wear medical surgical masks or medical protective masks, and provide guidance on hand hygiene, respiratory hygiene, and cough etiquette.

The second is to strengthen the cleaning, disinfection and ventilation of consultation rooms, wards, offices and duty rooms.

The third is to implement the personal protection requirements of medical personnel according to the exposure risk.

The fourth is to standardize the treatment of medical waste and implement terminal disinfection after patients are transferred out or discharged from the hospital.