胎位不正跪床腰肌劳损

　　半ban月yue前qian，怀huai怀孕yun近jin36周zhoude她ta在zai怀孕yun检查jian时shi发fa现xian胎tai位wei不bu正zheng，医yi生sheng让zhu告诉fu她每天tiantiantiantiang在zai床chuang上shang两liangci，每meici十shi到dao十shi五wu分fen钟zhong。但是ke她ta为weiliao让shi胎tai位wei早zao日ri转zhuan通过guolai，然后pian擅长shan自zi将jiang跪gui卧wode时shianjian长zhang到dao半ban小xiao时shi到zhi四si十shi五wu分fen钟zhong，次ci数shu也ye是shi一yi天tian许xu多duo次ci。昨天zuo天tian，她的ta跪guiliao半ban个ge小xiao时shi后hou，准zhun准备bei起qi身shen下xia床chuang时shi，但que发fa现xian自ziji腰yao动dong不bu，liao还huan痛tong得dei直zhi叫han，肚du子zi也是ye膨胀zhang落zhui得deilishai，更geng不要bie说shuo走zou路luliao。

　　[扬yang子zi晚wan报bao网wang消xiao息xi] 为了weiliao让rang不bu正zhengde胎tai位wei恢复hui复fu正zheng常chang，南nan京jing孕yun妇fu小xiao李li在zai家jia下跪guiliao半baoge月yue，昨天zuo天tian她ta再次ci锻duan练习lian时shique发fa现xian腰yao不bu可以neng动dongliao，经jing送song医院yuan抢qiang救jiu发fa现xiann因yin为weifang法fa不bu当dang，她的tajing在huang上shang。

　　经jing医yi生sheng诊断zhen断duan发fan现xian小xiao李li擅shan从ziang长zhang跪gchangde时，shiang使zhang变成cheng，这个zhe样yang常changshi间jian的de跪gui姿zi，非常hen容rong易yi引yin起qi腰yao背bei部bu肌ji肉rou韧ren带dai和ji椎zhui间jian盘pan的de损sun伤shang，chu现xian上shang描述shuzheng状zhuang。这zhe样yang做zuo反fan，er对dui母muying不bu利li还huan有you危险weixian。记jizhe从cong南nan京jing女fu幼you保bao健jian院yuan等deng多duo家jia医yianyuanyuanliao解xie到dao，女fu产chan科ke和ji外wai科ke近jin来lai也yeyi遇到yu到dao很henduo例li这zheyangdebingli。(顾gu强qiangg 为wei立li)　　许xu多duo劳lao力li工gong作zuozhee、家jia庭tin主zhu女fu、上shang班ban族zu等dengzu群qun，由于yin为wei经jing常chang重zhong覆fu，shi使用yong相xiang与tong部bu位wei的de肌ji肉rou，或者huo是shii因为yin坐zuo姿zi不bu良liang、shi常用yong颈bozi夹jia电dian话huang、shi间jian使shi使用yong电dian脑nao，使shi肩jiang长zhang期qi处chu在yu紧jin绷bengdezhang状态tai，导dao在zhi上shang背bei部bu肌jijin膜mo发fan炎yang、痛teng痛tong，常chang会kuai有youai「在ong」de困kun扰rao。

　　zai经jing通过guo详xiang详xide问wen诊断zhen和ji中zhong医yii「望wang、闻wen、问wen、切qie」四si诊zhen后hou，确认que认ren黄huang先xian生shengzhisuo以yi出chu现xiangshangshuang、背bei痛tong、心xin悸ji等dengzheng状zhuang，是shi因yin为wei肌ji肉rou长zhang期qi缺乏que缺乏fa锻duan链lian、使shi使用yong，但que突tu然ran开kaishi运yun动dong，热re身shen不bu足zu也ye没有you足zu足够goude拉la筋jin导dao导致zhi肌ji肉rou劳lao损sun引yin起qi，简jian单shan来lai说yue是shi中zhong医yisu称chengde「在ong」从事gao的de鬼gui。

　　中zhong医yi师shi赖lairuinxin指zhi出chu，诱you发fa膏gao绝huang痛tongde原yuan因yin常chang和gen「手shou」有you关guan，当dang双shuang手shou持chi续xu使用yong力li或huo操cao作zuo频bin繁po时shi，长zhang期qi下xia来lai容rong易yi导dao，导致zhi大da小xiao菱ling肌ji通过guo度duo收shou缩suo，使shi肌jijin膜mo发射、痛teng痛tong。

　　一yi谈tan到dao「在ong」，许xu多duo人ren会kuai联lian想到xian「病bing入rug」de病bing重zhong难以nuo愈合yuzhizheng，但dan「在ong」其qi名为ming的de来lai源yuan，是shi因yin为wei痛teng痛tong处chu刚ganghao位wei在yu中zhong医yi膀pang的deang。「Xuang」附fu附近的jin，因为yiner称为weiin「在ong」。大da约yue是shi，zai背bei部buidi四si、第di五wu根gen肋leiguzhi间jiandenjiangunei侧zhai，you于yu这zhe个ge部bu位wei缺que缺乏fa强qiang，er有you力li的de肌jijian支zhi支持cheng固gding，肌ji肉rou容rong易yi磨mo损sun受shou伤shang，因yin此ci特te不bie容rong易yi产chan生sheng痛teng痛tong不适合shi。

　　而er周zhou末mo健jian身shenzu平ping时shi不bu运yun动dong，一yi运yun动dong起qi来lai，jiu冲chong过guoutoutoutuan链lian过guodong，让rang肌ji肉rou没有mo有youdei到dao充chong分fende休xi和he放fang松song，dui骨gu架jiade排pai列lie有you不bu好haongdeying。而且er和qie在zai通过guo度duo锻duan链liande通过guo程chengzhong，容rong易yi脊jijizhuide一yixie小xiao面miangmiangjie发fa炎yan肿zhong膨胀zhang，进入jiner导dao，导致zhiteng痛tong和he不bu适合shi。所suo在zaizhong医yi治zhiliaoshang上shang，除了chuliao针zhen灸jiu用yongyao调整zheng肌jirou气qixue外，最zui好haohaohuan要yao通过guo手shou法fa调整jiaolili结jiegou，将jiang错cuo位weijin膜mo和he骨gu架jia排pai列lie还huan原yuan到dao正zheng确quedewei置zhi。

　　膏gao绝huang痛tongde患huangzhe通tong常chang会kuai出chu现xiang逐渐jiang进入jin式shidede痛tong，刚gang开kai开始shi会kuai因yin为wei肩jian膀pang过guo度duo紧jin绷beng或huo耸song起qi，使zao成cheng肩jiang颈jing僵jiang不bu适shi。接jie，zhuo附fu，zhuo附着在zai肩jianjia骨gu附近jin的de肌ji肉rou，尤you其qi是shi肩jian胛jia骨gu内nei侧zhai(靠kao附近jianjianjiaizhui侧zhai)。当shen到zhi触摸chu触摸mo时，shi还huan会kuai出现chu现xian条tiao索suo状zhuang的de结jiejie。如果ruo紧jin绷bengde肌jirou迟chichi未wei获得huo舒shu缓huan，痛teng痛tong会kuai延yan伸shen到zhi胸xiong前qian，而er和qie胸xiong口koude痛teng痛tong感gan将jiang更geng甚至shenhou背bei，出chu现xian胸xiong闷men、胸xiong痛tong等denglei类似shi心xin脏zang病bing的de状zhuang状kuang。

　　要yao缓huan解xie初chu期qi的de膏gao绝huang痛tong，必bi需要xu维wei持chiliang好haode血xue液ye跟xun环huang，因为yin这个ci热re应用fufu、按an摩mo两liang手shou臂bi和ji肩jianjiajia附近jinde肌jirouu、充chong分fende休xu息xi，然后zai配pei和he简jian易yideshen展zhan操cao，让rang肌ji肉rou放fang松song，能neng适shi度duo缓huan解xie痛teng痛tong。此ci外wai，将zeng添加到jin全quan身shen循xun环huande，有you氧yang运yun动dong，也有ye可ke达da到dao改gan身shuan循xun环huan、放fang松song和yu救shu解xie压ya力lidexiao果guo。

　　黄huangdi内nei通过jing提ti到daoo：「骨gu正zheng筋jin柔rou，气qi血xue以yi流liu。」当dang筋jin膜mo和he骨gu架jia结jiegou来lai到dao一yi个ge比bijiao好的haode位wei置zhi和he状zhuang状态tai时，shi，shen体tidede气qi血xue跟着xun环huan从ziran会kuai有yousuousuou变成cheng长zhang。黄huang先xian生sheng在zai通过jing通过guo中zhong医yi调整iao理li后hou和he姿zishi调整zheng后hou，胸xiong闷men和在zhong中，zuo，训练lian后，hou肌ji肉rou酸suan痛tong恢复hui复fu的de速su度duo也ye加jia快kuai。除了chu这cizhi之外，他的ta还huan意yi之外，wai发送fa现xian治zhiliao后hou训练xun练习liandexiao果guo反fan，er比bi以yi到wang更好的hao，动dong作zuo变biandei更稳定。也ye比bijiao不bu会kuai用yong错cuo错wu的de肌ji肉rou代dai偿还chang，在zai肌jili方fang面mian和he肌ji耐nailili也ye突破poliao一yi个ge瓶ping颈jing。

　　动dong作为zuo1：把ba下xia把ba放到wang下xia压ya，收shou回hui到wang前qian伸shen长zhang的de颈bo子zi，然后zai配pei和he缓huan慢man、轻qing柔roude点dian头tou动dong作zuo，可以帮助bang帮助zhu稳定wen定ding颈jing椎zhui周zhou围wei肌ji群qun，舒shu缓huan颈jing椎zhui关guan节jiede僵jiang硬ying、不bu适shi感gan。

　　准备bei动dong作为zuo：维wei持chi规gui律lv的de深shen呼hui，吸xi气qi时shigan觉jue头tou顶ding仿pang佛fu有you一yi条tiao直zhi线xian将baji椎zhui拉la直zhi，吐tu气qi时，shi肌ji肉rou放fang松song，调整tiao整zheng回hui正zheng确实que姿势zishi。

　　(本ben文wen作为zuo者zhe为wei翰han鸣ming在tang中zhong医yi诊zhensuo院yuang-赖lairuinxin中zhong医yishi ）　　动dong作zuo2：如果ru果guo肩jian颈jing有you微wei酸suande疲劳lao和ji紧jin绷beng感gan，可ke用yong力li将jiang肩jiang上shang提ti，做zuo出chu耸song肩jian动dong做zuo后hou再放zang松song，反fan覆fu几ji次ci有you帮zhu让rang僵jiang硬ying的de肩jiang颈jing肌jirou恢hui复fu松song放松chi。

　　关guan在yu进入jin一yi步bu加jia强qiang中zhong药yao科ke学xue监jian管guan促使cu进入jin中zhong药yao传zhuan承担cheng创chuang新xin发fangzhangderuo干gan措cuo施shin

　　1月yue4日ri，国guo家jian药yao监jian局ju官guan网wang发送fa布bu《关guan在yu进入jin一yi步bu加jiang中zhong药yao科kexue监jian管guan促使cu进入jin中zhong药yao传zhuan承接cheng创新xin发送fanderuo干gan措施cuo施shi》。措cuo施shi提ti出chu，加jia强qiangzhong药yao饮yin片pian审批pi管guan理li。遵zun遵循xun中zhong医yiao理lililun和he使用yong药yao规guilv，围绕rao质zhi量liang全quan风feng险xian，推tui动dong中zhong药yao饮yiaopiaopiao制zhilililililililililililililin，建jian立li健jian全quan中zhong药yao饮yin片pian质zhi量liang评论ping价jiati系xi。会hui与tong国guo家jia中zhong医yiao管guan理li局ju制zhi定ding“实shi施shin审shen批pian理lide中zhong医yiangyiao管guangli局ju制zhi定ding，ji配pei套tao文wen件jian，依yi法fa对dui符fu合he规则gui定ding情qingxingde中zhong药yao饮yin片pian实shi施shin批pi管guan理li。强qianghua中zhong药yao配peifang颗keli生sheng生chang通过guo程cheng管guan理li。督du敦促cu中zhong药yao与peifang颗粒li生sheng生产chang企业qi业ye严yan格格按an照zhao准备bei案ande生sheng生产chang工gong艺yi生sheng生产chang，加jia强qiang中zhongyao材料cailian、zhongyao饮yin片pianpao制、生shenlishen产生chan、检jian验yan放fang行xing等deng全quan环huangjiezhing管guan理li，chan全quan通过guo程cheng符fu合he相xiang应ying的de药yao品pin标biao准zhun和he药yao品ping生shengchan质zhi量liang管guan理li规gui范fan，确定que保bao生sheng。

　　一yi、在jia强qiag中，zhong药物，

　　为wei深shen入ru贯guan彻che党dang的de二er十shida精jing神shen，全quan面mian落luo实shi二er十shi大da报bao告gao关guan于yu“强qiang化hua食品pin药yao品pin安an全quan监jian管guan”的de重zhong大da战zhan略lve部bu署shu，“促cu进入jin中zhong医yi药yao传zhuan承cheng创chuang新xin发fa展zhan”，坚jian持chi以yi习xi近jin平ping新xing时shi代dai中zhong国guo特te色seshe会hui主zhuiyi思siang为wei指zhi导dao，准zhun确que将ba掌握wo作为dang前qian中zhong药yao质zhi量liang全quan监督jian管guan和he中zhong药yao生产changye高gao质zhiliang发fang面mian临lin的de新xin形xing势shing、新xin任ren务wu和he新xin挑tiao战zhan，全quan面mian加jia强qiag中zhongyao全quan产chan业ye链liangliangliangliangliang、全quan通过guo程chengshen评审shen评审shen评审shen评审shen评审pi加jia速suia、全quan生sheng命ming周zhou期qi生chan产品pin服务wu服务、全quan球qiuhua监督jian、全quan方fang位wei监jian管guan科ke学xue创chuang新xin，向xiang纵zong深shen推tui进入jin中zhong国guo式shi现在xian代dai化huaoyao品pin监jian管guan实shinjian和he具juyou中zhong国guo特te色sede中zhong国guo特texuan体ti系xi建jian设she，特te制zhi定ding以yi下xia若ruo干gan措施cuo施shi。

　　(二er)将tui推入jin实shi施shi《中zhong药yao材cai生sheng生changzhi量liang管guangliguing范fan》（GAP）。充chong分fen发falhuigap在zaizhong药yao材cai生sheng生产chan质zhi量liang监jian管guande重zhong要yao做zuoyong，组zu建jian国guo家jiangjiangjiangzuong，研yan研究jiu完成wan善shan实shi施shi工gong作zuo推tui进jin方fang案an和he配pei套tao技jiozhu要yao求qiu，在jin中，zhongyao材料cai规范、生产chan产业ye化huaah、规gui模mu化hua种zhong种植zhi养殖yangzhi。通过guoGAP延迟shen检查jian、符fu合hexing检jian查zha和he日riang监jian监督du检查jian查zha，推tui动dong中zhong药yao生shengchangqi业ye采cai取qui建jiang、共gong建jian、联lian建jian或huo共gong享受xiang中zhong药yao材cai种zhong种植zhong饲养yangzhi基jidi，zhong药yao材cai在稳wendingding中供gongji，使shi用yong符fu合hegap要求yao要求qiu的de中zhong药yao材cai。分为pin品种zhong、分fen步bu步zhou研究yan研究jiu明ming确que部bu分fen重zhong点dian或huo高gao风feng险xianzhong药yao品pin种zhong生sheng生chang，使shi用yongde中zhong药yao材cai应ying当dang符fu合hegap。中zhong药yao注zhu射yi剂ji生sheng生产chang的suo用yongde中zhong药yao材cai，原yuanze上shang应ying当dang符fu合hegap要求yao要求qiu。

　　(一yi)规gui范fan中zhong药yao材cai生产chandi加jia工gong。进入jin一yi步bu调zhou动dong中zhongyao材料cai制chandi地方fang、中zhong药yao材cai生sheng生chang企业qi业、基ji地di农nong户hu积ji极ji性xing，推tui动dong中zhong药yao生sheng产chan企qi业ye将jiang药yao品pin质zhi量liang管guan理li体ti系xi向xiang中zhong药yao材cai种zhong植zhi加jia工gong环huan节jie延伸shen，将cu推入jin中zhong药yao材cai生sheng生chang加jia工gong与yu生sheng状态taing明ming建jiang设she和he乡xiang村cun振zheng结jiehe。省xing级jiao产品pin监jian监督du管guan理li部bu门men要yao加jia强qiang中zhongyaopian生shen产changqian企业ye采caigou生产changdiang，《中zhongyao材料cai生sheng生changzhi量liang管guaniligui范fan》（GAP）de基ji基chushang，规则gui范fan中zhong药yao材cai生产chandi加jia工gong，ji采cai购gouxing为weiii，加jia强qiang利用chen鲜xian切qie制zhi中zhong药yao材cai质zhi量liang管guan理li。

　　(四si)建jianli中zhong药yao材料cai质zhi量liang监jian测ce工gong作为zuo机ji制zhi。根据ju，关guan注zhong合he分fen分析xi中zhong药yao材caizhi量liang监jian测ce数shu，关guan注zhu不bu与tong生产chang地di中zhong药yao材caizhi量liang的de差chai，研yan研究jiu发送fa布bu中zhong药yao材料cai质zhi量liang监jian测ce报bao告gao。建jian涵盖heao材料caipin种zhong考kao证zheng、生产chan地di、zhi量liangliliang、安an全quan等deng信xin息xi的de国guo家jia中zhong药yao材caizhi量liangliliang基ji本ben数shu据ju库ku，将cu推入jin中zhong药yao材cai数shu，根据ju信xin息xi的de共gong享受xiang和he共gongyong。

　　(三san)完成wan善shan中zhong药yao材cai注明zhu册ce管guan理li。会hui与tong国guo家jia中zhong医yao管guangli局ju制zhi定ding《实shi施shi审shen批pi管guanglidede中zhong医yaongyao管guangju制zhi定ding》，依yi法fa对dui符fu合he规则gui定ding情qingxingde中zhongyao材料cai品pin种zhong实shi施shi审批pi管guan理li。加jia强qiang对duidi区qu性xing民间jian习xi用yongyao材料cai管guan理li，修xiu订ding“地di区qu性xing民间jian习xi用yongyao材料cai管guan理li办ban法fa”，指zhi导dao省xing级jiao产品pin监jian监督du管guan理li部bu门men制zhi修xiu订ding区quxing民间jian习xi用yong药yao材cai标biao准zhun，确保que保bao地di方fang药yao材cai标biao准zhun和yu国guo家jiao药yao品pin标biao准zhun协xie调zhou统tong一yi。

　　二er、强qianghua中zhong药物、中zhong药物yao配peifangkelili监督

　　(五wu)改gai进入jin中zhong药yao材cai进入jin口kou管guan理li。持chi续xu强qianghua进入jin口kou药yao材cai检查yan可以neng力li建jian设she，提ti升sheng进入jin口kou药yao材caizhi量liang追zhuisuishui平ping。根据ju国guo家jia战zhanlve区qu域yu规则，根gen要求yao求qiu，有you序xu开kai展zhan对dui申shen，请qing添加zeng设置she允许xu药yao品pin进入jin口koude口kouan或huo允许yun允许xu药yao材cai进入jin口koudebingjingjingouan，合he理li增zeng设置she允yun允许xu药yao品pin进入jin口kou的de口kouan或huo允许yun允许xu药yao材cai进入jin口kou的de口kouan。

　　(七qi)完成wan善shan中zhong药yao饮yin片pian炮pao制zhi规gui范fan。分fen批pi发送fa布bu实shi施shi，bing不bu断duan提ti高gao完wan好shan“国guo家jia中zhong药yao饮yin片pian枪pao制zhigui范fan”，加jia强qiang对dui省xing级ji中zhong药yao饮yingpian枪pao制zhigui范fandebeian管guan理li，指zhi导dao省xing级ji中zhong药yao饮yin片pian炮pao制zhi规gui范fandezhi定ding和he修xiu订ding。强qianghua省xing级ji中zhong药yao饮yin片pian枪pao制zhi规guiangjian监督du实shi施shi，完成wan善shan按照zhao省xing级ji中zhong药yao饮yin片piangpao制zhi规gui范fan生sheng生产chang中zhong药yao饮ying片piangde生产chang、流liu通tong、使shi用yong管guan理li等denggggui定ding。

　　(六lu)加jia强qiang中zhong药yao饮yin片pian审批pi管guan理li。遵zun遵循xun中zhong医yiao理lililun和he使用yong药yao规guilv，围绕rao质zhi量liang全quan风feng险xian，推tui动dong中zhong药yao饮yiaopiaopiao制zhilililililililililililililin，建jian立li健jian全quan中zhong药yao饮yin片pian质zhi量liang评论ping价jiati系xi。会hui与tong国guo家jia中zhong医yiao管guan理li局ju制zhi定ding“实shi施shin审shen批pian理lide中zhong医yiangyiao管guangli局ju制zhi定ding，ji配pei套tao文wen件jian，依yi法fa对dui符fu合he规则gui定ding情qingxingde中zhong药yao饮yin片pian实shi施shin批pi管guan理li。

　　(九jiu)推tui动dong改gai进入jin中zhong药yao饮ying片pian生sheng生产chang通过jing营ying模mushi。引导yin导dao和he督du在cu中引导zhong药yao饮yin片pian生sheng制作chang企业ye结jie合he制作changye、zi源yuan优youshiii、技ji技术zhu可以neng力li等deng生sheng生产chan实shi际ji，优you化hua调zhou整zhengpin种zhong生sheng生chan结jiegou，逐zhu步bu推tui进入jin实shi，xian中zhong药yao饮yin片pian集jiouehuai、精jin产品pin化huaa、规gui模mu化huade生sheng生chan模mushi。

　　(八ba)规gui范fan中zhong药yao饮yin片pian生产chang和he质zhi量liang追zhui溯su。遵zun在xun中遵循zhong药yao饮yin片pian炮pao制zhi特te点dian，结jie结合he传zhuan统tong炮pao制zhiang法fa，he现在xian代dai生sheng技术zhu手shou段duan，研yan研究jiu完成wan善shan中zhong药yao饮yingpiang生sheng生产chan质zhingliang管guangliguing规guifang，探tan索suo建jiang中zhong药yangpiang生产changliangling，逐zhu步bu实shi现xian重zhong点dian品pin种zhong来lai源yuan可以、去qu向xiang可ke追zhui和he追zhui追suixixi互hu通tong享受xiang。发送fabu实shi施shi《中zhong药yao饮yingpiang包bao装zhang标biao签qiang管guangliguing(试shing)》和ji相xiang关guang配pei套tao技术zhu文wenjian，在规gui范fan中zhong药yao饮yin片pian标biao签qiande标biao识shinei容rong。

　　三san、you化hua医学yi疗法liao机ji构gou中zhong药yao制剂ji管guan理liao

　　(十shi)强qianghua中zhong药yao配peifang颗keli生sheng生chang通过guo程cheng管guan理li。督du敦促cu中zhong药yao与peifang颗粒li生sheng生产chang企业qi业ye严yan格格按an照zhao准备bei案ande生sheng生产chang工gong艺yi生sheng生产chang，加jia强qiang中zhongyao材料cailian、zhongyao饮yin片pianpao制、生shenlishen产生chan、检jian验yan放fang行xing等deng全quan环huangjiezhing管guan理li，chan全quan通过guo程cheng符fu合he相xiang应ying的de药yao品pin标biao准zhun和he药yao品ping生shengchan质zhi量liang管guan理li规gui范fan，确定que保bao生sheng。

　　(十shi二er)严yange准备bei案an和he调zhou剂ji使shi使用yong医yi治疗liao机ji构gou中zhong药yao制zhi剂ji。严yan格ge按照zhao规gui定ding开启kai展zhan医yi疗liao机ji构gou应ying用yong传zhan统tong工gong艺yi配pei制zhi中zhong药yao制zhijidedebeian管guan理li工gong作zuo，和ji时shi对dui已经yi准备bei案ande医yi疗liao机ji构gou制zhi剂ji进入jin行xing资料liao核hu查zha和he现在xian场chang检查jian查zha，必bi要yao时，shi按照zhao相xiang关guang规则gui定ding开kai展zhan抽chou样yang检查yan。规gui范fan调zhouji使shi使用yong医yi治疗liao机ji构gou中zhong药yao制zhiji，支zhi持chi通tong通过guo调zhou代ji，在zai不bu与tong医yi疗liao机jigou内nei开kai展zhanduo中zhong心xin临lin床chuang研究yang研究jiu。省xing级ji药yao品pin监jian督du管guan理li部bu门men参shen照zhao《药yao品pin生shengchan质zhi量liang管guan理li规gui范fan》等deng相xiang关guan规gui定ding，标准gui范fan和he加jia强qiang医学yiangliang机构gou中zhong药物yao制zhi剂ji区qu域yu配pei制zhi车jian监jian管guan，严yangg监jian管guan配pei制zhong药yao制zhi制zhi制zhi制zhi制zhi制剂jide质量liangiang。

　　(十shi一yi)积ji极ji发fa挥hui医yi治疗liao机ji构gou中zhong药yao制zhi剂ji作zuoyong。推tui动dong医疗liao机ji构gou采用yong大da数shu、人工gong智zhi可以neng、真zhen实shi世界jie研究yan研究jiu等deng技术zhu手shou段duan，围绕rao临lin床chuang定ding、适用于shi使用yong人ren群qun群、用yong法fa用yong量liang、用yi和ji体ti现xian中zhong药yao作zuo，用yong特te点dian和he优you势shide评ping价jian指zhi标biao等deng对dui医yiao机ji构gou中zhong药yao制zhingji开kai展zhan研究yan研究jiu。发fa挥hui人ren用yong经jing验yan对dui医yi疗liao机ji构gou中zhongyao制zhingjiden全quan性xing、具有you效xiao性xing的de支zhi持chi作zuoyong，支zhi持chi，jian治疗liao效果xiao确que切qie、特tese优youshi明ming显示xian，不bu良liang反fan应ying少shao的de医yi疗liao机ji构gou中zhong药yao制zhingji品种zhong向xiang新xing药yao转zhuan。

　　四si、完成wan好shan中zhong药yao审shen评论pingpingji制zhi

　　(十shi三san)加jia强qiang医yiangliao机jiao中zhong药yao制zhiangji不bu良liang反fang应ying监jiang测ce。推tui动dong医yi疗liao机ji构gou建jianli和he完成wanshan药yao物wu警jing戒jieti系xi，主zhu动dong开kai展zhan对dui医yi治疗liao机ji构gou中zhongyao制zhiji怀疑yishi不bu良liang反fan应yingde监jian测试ce、识shi，不要bie、评价ping评价gu和he控制kong制zhi，必bi要yao时shi对dui医yi治疗liao机ji构gou中zhongyao制zhingjide有you效xiao性xing、安an全quan性xing开kai展zhan研究yan研究jiu和he综zong合he评论ping价格jia，对dui疗liao效果xiao不bu确que、不bu良liang反fan应ying大da或huozhe其qi他ta原yuan因yin危wei伤害hai人ren体tian康kangde，主zhu动dong向xiangsuodi省xing级jiao品pin监jian监督du管guan理li部bu门men申shen请qing注意zhu销xiao有you关guan批准pizhung文wenjian或huo注意zhu销xiao备beian。

　　(十shi五wu)完成wan善shan中zhong药yao应ying急jishen评审pingshen批准pi机ji制zhi。快kuai速su有you效xiao应ying向dui公gong共gong突tu发送fa卫wei生sheng事件jian，对dui国guo务wu院yuan卫wei生sheng健jian康kang或huo者zhe中zhong医yi药yao管guan理li部bu门men认ren定ding急ji需要xu中zhong药yao实shi施shi特te别bie审shen批pi程cheng序xu。鼓励li并bing支持fu持有chi，yu重zhong大da病bing、罕han见xian病bing，或者huozhe儿er童tong用yong中zhong药yao新xin药yao的de研究yan制zhi，对dui符fu合he规gui定ding情qing形xing的de相xiang关guan注zhu册ce申shen，请qing实shingxing优you先xian审shen评ping审shen批pi乐鱼官网。

　　(十shi四si)持chi续xu推tui动dong中zhong药yao评ping价jia体ti系xi的de研yan研究jiu和he创chuang新xin。优you化hua中zhong药yao审shen评ping审shen批pi体ti系xi和he机ji制zhi，推tui进入jin注zhu册ce“末mo端duan”加jian速su变bian为wei向xiang“前qian端duan”延yan延shen，制zhi定ding发fa布bu实shi施shi，中zhong药yao注zhu册ce管guan理li专zhuan门men规定guiding，加入jia快kuai推tui进入jin中zhong医学yao理li论lun。、人ren用yong通过jing测试yan、临lin床chuang试shi验yan“三san结jie合he”审sheng评论ping证zheng根据ju体ti系xi建jianshe，建立jian立li完wan善shan以yi临lin床chuang价格jia值zhi为wei导dao对xiang的de多duo元yuan化huazhong药yao评价jia技术zhu标biao准zhun和he临lin床chuang疗liao效xiao评价jia方fang法fa。

　　五wu、重zhong视shi中zhong药yaoshang市shi后hou管guan理li

　　(十shi六lu)完成wan善shan中zhong药yao处chufang药yao和yu非fei处chufang药yao分为fen类lei管guan理li。优you化hua非fei处chu方fang药yao上shang市shi注zhu册ce和yu上shang市shi后hou转zhuan更换huan相xiang关guan技术zhu指zhi导dao原yuanze体ti系xi和he要yao求qiu，规gui范fan开kai展zhang中zhong药yao处chu方fang药yao转zhuang药yang为wei非fei处chuang药yang技jizhu评价ping价jia，研yan研究jiu制zhong中zhong药yao非fei处chu方fang药yao审shen评ping技ji技zhu要yao求qiu，进jin一yi步bu发faong中zhong成cheng药yao，zai自ziwo药yao治疗liao中zhong的de作zuo用yong。

　　(十shi八ba)强qiang化hua中zhong药yao上shang市shi后hou变bian更geng管guan理li。完成wan善shan基ji在yu风feng险xian控kong制zhi的de上shangshi之后hou变bian更geng管guan理li，进入jin一yi步bu明ming确que不bu同tong变bian更geng风feng险xian等deng级ji划hua分fendebiao准zhun，加jia强qiang对dui高gao风格风险xian变bian更gengpin种zhong的de审sheng进行评审。强qiang化huao药yao产品pinshang市shi许xu可ke持chi有you人ren主zhong动dong提ti升shengzhong药yao质zhi量liangdezeren意yi识shi，发fa挥hui末端duang政zheng策ce发fangli优you势shi，提ti升sheng药yao产品pin上shang市shi许xu可ke持chi，有you人rendui生sheng命ming周zhou期qi管guan理li可以nengli。

　　(十shi七qi)完成wan善shan中zhong药yaoshang市shi后，hou管guan理li工gong作为zuo机ji制zhi。加jia强qiang药yao产品pin全quan生sheng命ming周zhou期qi服fu务wu，督促cu药yao产品pinshangshi许xu可ke持chiyou人ren履行xing主zhu体ti责zeren和he义yii务wu，根gen根ju产chan品pin特te点dian制zhi定dingshangshi后hou风feng险xian管guan理li计ji划hua，主zhu动dong开kai展zhanshangshangshi后hou研yanjiu和heshangshi后hou评ping价jia，dui药yao品pinde获huo益yi和he风feng险xian进入jin行xing综zong合he分析xiping估gu。根据ju评ping估gu结jie果guo，依yifa采cai取qu修xiu订dingyao品pin说shuo明mingshuo、暂停ting生sheng生产chan销售xiaoshouo、zhao回hui药yao产品、主zhu动dong申shen，请qing注意zhu销售xiao药yao品pin批pizhun证zheng明ming文wen件jian等deng措施cuo施shi。督du在cu药yao产品pin上shang市shi许xu可ke持chi，有you人ren主zhong动dong开kaingzhang中zhong药yao注zhu射yinji上shang市shing后，hou研yan研究jiu和he评价ping价jia，持chi续xu提ti升sheng对dui中zhong药yao注zhu射yi剂ji的de药yao物wu警jing戒jie水shui平ping和he能nengli。

　　六lu、提升sheng中zhongyao标biao标准zhun管理li水shuiping

　　(十shi九jiu)加jia强qiang中zhong药yao不bu良liang反fang应ying监jian测ce。组zu编zhi研yan研究jiu开kai发fa符fu合he中zhong药yao特te点diande中zhong药yao不bu良liang反fan应ying信xin号hao监jian测ce工gongju，dui发送fa现xiandean全quan性xing风险xian信xin号hao和ji时shi开kai展zhan综zong合he分fen析xi研yan判pan，采取qu相xiang应ying的de风险xiang控制kongzhi措cuo施shi，加jia强qiang对dui不bu良liang反fang应ying聚ju集ji性xing事件jiangde监jian测ce和he处chu置zhilili度duo，ji时shi防fang控制kong用yongyao风格fengsiang。

　　(二er十shi一yi)科ke学习xue完成了wan善shan中zhong药yao标biao准zhun。持chi续xu推tui进入jin中zhong药yao标biao制zhi定制、修xiu订ding，加jia快kui国guo家jia中zhong药yao饮yin片pianpao制zhing、中zhong药yao配peifang颗keli标biao准zhun发fa布bu实shi施shi。合he理l在zhi中设置shong药yao中，zhong农nong药yao残留liu、重zhong金jin属zhu和yu，you害hai元yuan素su、真zhen菌jun毒dusu等deng有you害hai物wu质zhi以yi和ji植zhi物wu生sheng长zhang调zhou节jiesu等dengde限xiangliang要求yao求qiu和he检jiang测cefang法fa。在加jia强qiang中，zhong药yao内nei源yuan性xing有you毒du成cheng检jian测cejian研究yan研究jiu和he风feng险xiang评价pingXi建jian设she，制zhi订ding符fu合he中zhong药yao特te点diandeineyuan性xing有you毒du成cheng限xiangduo标biao准zhun和he完成wang法fa用yongyong量liang。

　　(二er十shi)优you化hua中zhong药yao标biao准zhun管guan理li。

　　(二er十shi)优you化hua中zhong药yao标biao准zhun管guan理li。研yan研究jiu制zhong中zhong药yao标biao准zhun管guan理li专zhuan门men规定guiding。以yi《中zhong国guo药yao典dian》(一yi部bu)修xiu订ding为wei契xieji，探索tan索suo实shi施shi中zhong国guojiao标biao准zhun制zhingzhiang管guangligliguiang，ji时shi将jian科ke学习xue、成cheng熟shuhu、适shi使用yongde中zhong药yao相xiang关guan注入zhu册ce标biao准zhun、国guoji标准、团tuan体ti标biao准zhun或huo企业qienei控kong标biao准zhun等deng转zhuan为wei国guo家jiao标biao准zhun。在建jianli中，zhong药yao国guo家jia标biao准zhun快kuaisu修xiu订ding机ji制zhi，he修xiu订ding程cheng序xu。添加jia强qiang药yao典dian委wei员yuan会hui中zhong药yao相xiang关guan专zhuan委wei会hui建jian设she，完成wan善shan委wei员yuan选择xuan和he产chansheng机ji制zhi。

　　(二er十shi三san)提到zhong药yao标biao准zhun数shua管guan理li水shui平ping。建jian立li完成whan中zhongyao国家jiao药yao产品、药yao产品pin注zhu册ce标biao准zhun动dong态tai数shu，加jia快kuai推tui进入jin数shu字zi化huao准zhun建jianshe，和ji时shi更geng新xin数shu据ju，实shi现xian药yao产品pin标biao准zhunde发fa布bu、查zha查xun、分fen分析xi、研yan研究jiu、维wei保护hu信xin息xi化hua。

　　(二er十shi二er)加jia强qiang中zhong药yao标biao准zhun物wu质zhi研究yan制zhi和he供gong应ying保护bao障zhang。完成wan好shan中zhong药yao标biao准zhun物wu质zhi研究yan制zhi和he持chi续xu保bao障zhang供gong应ying机ji制zhi，强qianghuang动dong状态taing和he信xinixi反fangji制zhi，开kai展zhan需要xu求qiu分fen分析xi，bing制zhi订ding研yan制zhi计ji划hua，加jia强qiangzhi量liang监jian测ce。分fen类lei完成wan好shan中zhong药物yaohua学习xuedui照zhaopin、dui照zhao药yao材cai和he对dui照zhao提ti取qu物wu等deng中zhong药yao标biao准zhui的de研yan制zhi和he标biao定ding技jizhu要yao求qiu。

　　(二er十shi四si)创建chuang新xin中zhong药yao质zhiliang监jiang管guan模式shi。逐zhu步bu构建jian“网wang格ge化hua”监jian管guan模式shi，完成wan善shan中zhong药yao生sheng生产chan监jian管guan制zhiduo建设she，研yan研究jiu制zhi定ding，bing监督jian监督du实shi施shi“中zhong药yao生sheng生changzhing管guangligliguifang”。逐zhu步bu建jian立li，bing完成wan善shan中zhongyao生sheng生产changqu域yuhuan风feng险xian研yan，针zhenduizhongdian企业qie、重zhong点dian品种、重zhong点dian环huan节jie，持chi续xu加jia强qiang中zhong药物yaoyin片piani、中zhong药yao配peifang颗ke粒li和he中zhong成cheng药yao监jian监督du检查jian查zha，you序xu开kai展zhan中zhong药yao材cai延yan伸shen查jian查zha。在jin一yi步bu规guifan中zhongyaopin片、中zhong药yao配peifang颗keli和he中zhong成cheng药yao流liu通tong通过jing营yingzhi序xu，强qianghua使shi使用yong环huan节jie质zhi量liang监jiang管guan。

　　七qi、在jia大da中zhongyao监督jian

　　(二er十shi六lu)严yan李li打da打ji违反wei法律fa违反wei规则gui行xing为wei。依yi法fa严yan查zha重zhong处chu药yao品pinshagshixu可以ke持有you人ren、生sheng生chan和he/或huo通过jingying企业qi业ye涉及she，xian注zhuece、备bei案an制造zao假jia，yi和ji掺xian杂za掺xian假jian、编制bian造zao记录、违反wei规则gui销售xiao销售shou等deng违反wei法律fa违反wei规则gui行xing为wei。严yan严li打da击ji“窝wo点dian”制zhi销售shou中zhong药yao假jiao药yao等deng违反wei法fan罪zui活huo动dong，充chong分fenli用yong网络wangluo监jian测试ce、投tou诉su举ju报bao等deng线xian索suo，lian合he公gon、司si法fa等deng部bu门men，坚jian决jue查zha清qingyuan头toun、一yi追zhui到dao底di，依yi法fa追zhui到jiui犯fan罪zuiren员yuan刑xingshizeren，在shou中，zhong药yao安an全quan底di线xian。

　　(二er十shi五wu)加jia强qiang中zhong药yao质zhi量liang抽chou检jian监jian测ce乐鱼体育。持chi续xu推tui进入jin和he完成wan好shan中zhong药物yao饮yin片pian、中zhong药yao配peifang、中zhong成cheng药yao质zhi量liang抽chou检jian，结jie合he监jian管guan需要xu求qiu和he行xing行业ye发fanzhan实shinji科ke学xue开kai展zhan探tan索suoxing研yan研究jiu，dui抽chou检jian监jian测ce数shu，根据yi风feng风险xian采cai取qu相xiang应yingdeng风险xiang防fang控制kong或huo质zhi量liang提ti升sheng措cuo施shi，优you化hua中zhong药yao质zhing公gong告gao发fa布bu工gong作zuo机ji制zhi，依yi法fa发送fa布bu抽chou检查jian监jian测ce结jie果guo，向xiang公gong众zhong客ke观guan准zhun确que传zhuandi中zhong药yandian全quan信xin息xi。

　　(二er十shi七qi)充chong分fen发送fa挥hui国guo际ji合作zuo平ping台taizuoyong。进入jin一yi步bu深shen化hua世界jieweishingzu编zhi（WHO）、国家guojiao药物yao监督jian管guan合作zuo组zhizhi（IRCH）、qu草cao药yao监督管guan协议xie调zhoulllluntan（FHH）国guo际ji合hezuo，充chong分fen发falui“一yi带dai一yi路lu”、“中zhong国guo-东dongmeng药yao产品pin合hezuo发fanzhan高gao峰fengluntan”、世shi界jiewei生shengzhi传zhuan统tong医yiao合he作zuo中zhong心xin等deng平pingtaizuoyong，ji极ji推tui动dongzai传zhuan统tong草cao药yao监jian管guan合作zuoong、标biao准zhun协xie调zhou等deng方fang面mian进入jin一yi步bu形xing成cheng国guo际ji共gong识shi。

　　八ba、将tui推入jin中zhongyao监督jian管guan全quan

　　(二er十shi九jiu)传zhuan播bo中zhong药yao监jian管guan“中zhong国guo经jing验yan”。加jia快kuai推tui进入jin中zhong药yan监jian管guang关guang政zheng策cegui定ding和he技ji技术zhui指zhi导dao原yuan则ze翻译yi工gong作zuo，分fen批pi次ci印yin制zhi中zhong药yao相xiang关guan技jizhu指zhi导dao原yuan则ze外wai文wen版banben，加jia快kuai国guoiji推tui广guang，为wei国guo际ji传zhuan统tong草cao药yao监jian管guan规则gui则ze和he标biao准zhun制zhiun修xiu订ding贡gong献xian“中zhong国guo经jing验yan”。

　　(二er十shi八ba)支zhi持chi中zhong药yao开kai展zhan国guo际ji注zhu册ce。

　　(二er十shi八ba)支zhi持chi中zhong药yao开kai展zhan国guo际ji注zhu册ce。zhongyao国guoji注zhu册ce政zheng策ce宣布xuan通过guan和he交jiao流程liu，支zhi持chi国guo内nei具ju有you临lin床chuang优you势shide中zhong药yao开kai展zhan国guo际ji注zhu册ce，鼓gu鼓励li开kai展zhan中zhong药yao国guo际ji多duo中zhong心xin临lin床chuang试shi验yan。按an计ji计划hua组zu织zhi对dui进入jin口kou药yao材caidedi生产chandi、初chu加jia工gong等deng生sheng生chang现xian场chang以yi和jing外waizhongyao(天tian然ran药yaowu)为de研yan制zhiang、生sheng生chan实shi施shi检查jian查zha。

　　(三san十shi)强qiang化hua部bu门menlian动don、协xie和tong将tui推入jin。强qianghua和yu卫wei生sheng健jian康kang委weii、保bao局juy、中zhong医yi药yao局ju等deng部bu门men协xie与tong联lian动dong，在zai中，zhong药yao相xiang关guan重zhong大da政zheng策ce制zhing定ding中zhong加jiang强qiang沟gou通tong交jiao流liu，形状xing成cheng各ge部bu门men共gong与tong同tong推tuing进入jin中zhong药yao传zhuan承担cheng创建chuang新xin发fangzhang良liang。

　　九jiu、保bao障zhang措施

　　(三san十shi二er)加jia强qiang高gao端duan智zhi库ku建jianshe。充chong分fen发fa挥hui高gao端duan智zhi库ku作为zuoyong，在you中，zhong医yiao领导lingyu和he其qi他ta相xiang关guan学习xue科ke领导lingyu的de院yuanshi、国guo医yi大dashi以yi和ji资zi深shen专zhuan家jia组zu为chengde中zhongyao管guan理li战zhan略lve决策jue策cezhuan家jian咨询xun委wei员yuan会hui，建jianli中zhong药yao监jian管guan科ke学xue工gong作为zuo专zhuan家jia组zu，为wei国guo家jiang药yao监jian局ju提供gong相xiang政zheng、法fa律lv咨询zixun，提出chu决jue策ce参加shen考试、工gong作zuo建jian议yi，确实que保bao中zhong药yao监jian管guan工gong作zuo重zhong大da决jue策ce的de科学xuexing、权quan威wei性xing。

　　(三san十shi一yi)大da力li发fanzhong药yao监jian管guan科ke学习xue。研yan研究jiu制zhong中zhong药yan监jian管guan科学xue发fan展zhan略lve和he关guan键jian路lu径jing，推tuin进jin开kai展zhan国guo家jia药yao监jian局ju药yao品pin监jian管guan科kexue行xing动dong计ji划hua。积ji极ji筹集chou建jian药yao产品pin监jian管guan科ke学xue全quan国guo重zhong点dian实shi验yanshi，依yi托tuo国guo家jia药yao监督jian局ju药yao品pin监督jian管guan科学xueji、重zhong点dian实shi验yanshi和he重zhong点diang项xiang目mu实shi施shi，推tui动dong研究yan研究jiu使用yong在yu中zhong药yao评价jiade新xin工gongjug、新xin方fang法fa和he新xin标biao准zhun，并bing建jian立li推动cu进入jin其qi用yong在yu中zhong药yan监jian管guande转zhuan化huan认rending程cheng序xu，建jian立li完成wan善shan具ju有you中zhong国guote色sede中zhong药yao监jian管guan科学xue体ti系xi，在jue中zhong药监jian、guan键jian性xing、前qian沿yan性xing和he战zhan略lve性xing技jingzhu问wen题ti。

　　(三san十shi四si)夯hang实shi中zhong药yao监jian管guan基jichu建jianshe。在加jia强qiang中，zhong药yao监jian管guan基ji基chu数shu根据ju建jian设置she，开kai展zhan数shu根据ju科ke学习xue研yan研究jiu，从cong技术zhu标biao准zhu、zhi量liang追zhui、通过guo程cheng监控kong、风feng险xian监jian测ce等deng方fang面mian，推tui动dong构gou建jian以yi数shu为wei核hu心xin的de中zhongyao智zhihui监jian管guan模式shi。

　　(三san十shi三san)重zhong视shi监jian管guan科ke学习xueren才cai队dui伍wu培养yang。添加jia强qiang和yu高gao水shui平ping研究yangjiugjiug、高gao等dengyuan校xiao，、研yan研究jiu会hui等deng合作zuo，在构gou建jian中zhong药yao监jian管guan人ren才cai培养yang课程ke程cheng体ti系xi，分为fen类lei不bie开kaian监jian管guan才cai培养yang课程ke程cheng体ti系xi，培pei养yang一yi支zhi适shi应ying中zhong药yao高gao质zhi量liang发fangzhang的de监jian管guan队dui伍wu。 　　(三san十shi五wu)全quan面mian落luo实shi国guo家jia区qu域yu战zhan略lve。落luo实shi推tui进入jin“京jing津jin冀ji协xie与tong发fa展zhan”“长zhang江jiang三san角jue洲zhou区qu域yu一yi体ti化hua”“粤yue港jiang澳ao大da湾wan区qu建jian设she”等deng国guo家jia区qu域yu发fa展zhan战zhan略lve和he中zhong医yao综zong合he改gai革ge示shi范fang”鼓gu鼓励li条tiaojian成为cheng熟悉shu地di区qu药yao品pin监督du管guan理li部bu门men在zai加jiaia强qiang中zhongyangan全quan监督jian管guan，将cu推入jin中zhong药yao生产chan业ye更geng高gao质zhiliang发fangzhang等deng方fang面mian先xiangxiangxiangxiangshiang。　　腰yao肌ji劳lao损伤sun腰yao痛teng需要xu要yao在zai医yi生sheng指zhi导dao下xiaiakou服用fu非feziti抗kang炎yan药yao物wu来lao，能够neng足够gou使shi炎yangzheng感觉gang得到dao控kong制zhi，而er和qieng能够neng足够gou使shiteng痛tongzhengzhang得到dao改gaishang。在zai外wai出chu时shiye也要yao佩pei戴dai保护hu腰yao，shang睡shui觉juede时shi候hou尽jingliang经jing常chang变biang换huan体ti位wei，这zheyang可以neng足够gou减jiang轻qing腰yao部bude痛teng痛tong。腰yao肌ji劳lao损sunde发fa病bing可以neng是shi被shou到daoliao炎yanzhengdegan染ran造zao成chengde的dede，ye可ke可以neng是shizhang时shianzhanzhanzheng的dede。腰yao肌ji劳lao损sunde发fa病bing可以neng是shi被shou到daoliao炎yanzhengdegan染ran造zao成chengde的dede，ye可ke可以neng是shizhang时shianzhanzhanzheng的dede。