CAJ | 학술논문

目的总结和分析临床路径在婴幼儿轮状病毒肠炎中的实施效果。方法将我科收治的135例轮状病毒肠炎患儿随机分为观察组和对照组。比较两组患儿的住院天数、住院费用、药品比率和家长满意度。结果观察组患儿的住院天数（5.1±0.68d）、住院费用（830±122元）均低于对照组（6.5±1.12d，1428±164元），药品比率（19.12%）低于对照组（28.78%），家长满意度（100%）高于对照组（90.2%），差异有统计学意义（P＜0.05）。结论应用临床路径，可规范轮状病毒肠炎的诊疗流程，缩短住院天数，减少住院费用，降低药品比率，增加患儿家长的满意度，提高服务质量。
목적총결화분석림상로경재영유인륜상병독장염중적실시효과。방법장아과수치적135례륜상병독장염환인수궤분위관찰조화대조조。비교량조환인적주원천수、주원비용、약품비솔화가장만의도。결과관찰조환인적주원천수（5.1±0.68d）、주원비용（830±122원）균저우대조조（6.5±1.12d，1428±164원），약품비솔（19.12%）저우대조조（28.78%），가장만의도（100%）고우대조조（90.2%），차이유통계학의의（P＜0.05）。결론응용림상로경，가규범륜상병독장염적진료류정，축단주원천수，감소주원비용，강저약품비솔，증가환인가장적만의도，제고복무질량。
Objective To summarize and analyze the actual ef ect of clinical pathway in infants with rotavirus enteritis, and investigate the clinical value of the clinical pathway. Methods Admit ed to our department from January to December 2012, 135 cases of children with rotavirus enteritis were randomly divided into two groups, the 73 cases in observation group, and a control group of 62 cases. Observation group standardized clinical pathway implementation of diagnosis and treatment, care, while control group received traditional treatment and care. Compared between the two groups of children with the hospitalization duration, hospitalization costs, drug ratio and parents' satisfaction and statistical y analyzed. Results The hospitalization duration (5.1±0.68 day), hospital costs (830 ± 122 yuan) in the observation group were lower than that of the control group ( 6.5±1.12 day, 1428±164 yuan);the drug ratio (19.12%) in the observation group were lower than that of the control group ( 28.78%) , parents' satisfaction (100%) higher than that in the control group (90.2%) (P<0.05). Conclusions Application of clinical pathways may standardize the diagnosis and treatment process of rotavirus enteritis, reduce the hospitalization duration and hospitalization costs, lower drug ratio, increase the parents' satisfaction and improve the quality of service.