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急性脑梗死患者临床路径管理应用效果评价
作者:李树浩  邱浩强 
单位:广东省普宁华侨医院, 广东 揭阳 515300
关键词:脑梗死 临床路径 效果评价 影响因素 
分类号:R743.33
出版年·卷·期(页码):2014·33·第五期(605-608)
摘要:

目的:探讨临床路径管理在急性脑梗死治疗中的实施效果及应用价值。方法:采用回顾性队列研究的方式比较临床路径实施前后(2011年6月)急性脑梗死患者的相关情况,主要评价指标包括住院费用、疾病特征、诊疗质量等。结果:路径组的平均住院总费用、药费、检查费、床位费和平均住院天数均少于对照组,差异有统计学意义(P<0.05);而在手术费、治疗费和其他费用在路径组和对照组之间差异无统计学意义(P>0.05)。患者治疗效果比较发现,路径组的治愈率相较对照组更高,但两组治疗效果之间总体差异无统计学意义(P>0.05);路径组患者住院并发症发生率低于对照组,差异有统计学意义(P<0.05);两组之间病死率差异无统计学意义(P>0.05);两组患者入院与出院诊断符合率均为100%。结论:急性脑梗死临床路径管理可以缩短平均住院日、降低住院费用、提高诊疗质量,值得进一步推广。

Objective: To evaluate the effects of the clinical path management in the treatment of acute cerebral infarction. Methods: A retrospective cohort study was applied to compare the status between the control group and the path group, the main evaluation indicators included hospital costs, disease characteristics, treatment quality. Results: Total cost of hospitalization, drugs fees, inspection fees, bed charges and the average hospitalization days in path group were less than those in the control group, the differences were statistically significant(P<0.05); while in surgery, treatment costs and other expenses had no statistically significant differences between two groups(P>0.05). The cure rate in path group was higher than that in the control group, but the overall difference between two groups was not statistically significant(P>0.05); hospitalization incidence of complications in path group was higher than that in the control group(P<0.05);mortality between the two groups showed no significant difference(P>0.05); the diagnosis compatibility rate of patients discharged from hospital was 100%. Conclusion: Acute cerebral infarction path management can shorten the average length of stay, reduce hospital costs and improve quality of care, worthy of further promotion.

参考文献:

[1] 吴凌峰,张昆南,高幼奇,等.青、老年脑梗死患者的危险因素及病因分析[J].中华脑血管杂志:电子版,2010,4(4):246-249.
[2] 郭伟莉.45岁以下青年人脑梗死危险因素现状研究[J].吉林医学,2010,31(33):6108-6109.
[3] 赵鲁平,李友伟,谭鸿,等.推进临床路径试点工作的早期管理经验[J].中国医院管理,2011,31(6):23-24.
[4] 范理宏,宋丽,谭申生.临床路径在我院的实施与推广价值分析[J].中国医院管理,2010,30(11):28-29.
[5] 徐菁.某院单病种临床路径管理效果评价分析[J].解放军医院管理杂志,2012,19(12):1118-1120.
[6] 马国胜,蔡曦光,孟永洁,等.23个病种实施临床路径效果分析[J].中华医院管理杂志,2013,29(5):353-356.
[7] 中华医学会第四次脑血管病学术会议.各类脑血管疾病诊断要点[J].中华神经科杂志,1996,29(6):379-380.
[8] HUANG Z X,LU X D,DUAN H L.On mining clinical pathway patterns from medical behaviors[J].Artificial Intelligence in Medicine,2012,56(1):35-50.
[9] SCHULD J,SCHFER T,NICKEL S,et al.Impact of it-supported clinical pathways on medical staff satisfaction.A prospective longitudinal cohort study[J].International Journal of Medical Informatics,2011,80(3):151-156.
[10] 张媛,贾红英,周庆博,等.山东省某医院急性脑梗死患者临床路径管理的应用评价[J].医学与社会,2013,26(2):4-6.
[11] 黄道花.临床路径在普外科规范化培训护士轮转带教中的应用[J].现代医学,2011,39(3):358-360.

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