东南大学学报（医学版）
東南大學學報（醫學版）
동남대학학보（의학판）
JOURNAL OF SOUTHEAST UNIVERSITY(MEDICAL SCIENCE EDITION)
2014年
5期
605-608
,共4页
脑梗死%临床路径%效果评价%影响因素
腦梗死%臨床路徑%效果評價%影響因素
뇌경사%림상로경%효과평개%영향인소
cerebral infarction%clinical pathway%evaluation%influencing factors
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。
目的：探討臨床路徑管理在急性腦梗死治療中的實施效果及應用價值。方法：採用迴顧性隊列研究的方式比較臨床路徑實施前後（2011年6月）急性腦梗死患者的相關情況，主要評價指標包括住院費用、疾病特徵、診療質量等。結果：路徑組的平均住院總費用、藥費、檢查費、床位費和平均住院天數均少于對照組，差異有統計學意義（P＜0．05）；而在手術費、治療費和其他費用在路徑組和對照組之間差異無統計學意義（P＞0．05）。患者治療效果比較髮現，路徑組的治愈率相較對照組更高，但兩組治療效果之間總體差異無統計學意義（P＞0．05）；路徑組患者住院併髮癥髮生率低于對照組，差異有統計學意義（P＜0．05）；兩組之間病死率差異無統計學意義（ P＞0．05）；兩組患者入院與齣院診斷符閤率均為100％。結論：急性腦梗死臨床路徑管理可以縮短平均住院日、降低住院費用、提高診療質量，值得進一步推廣。
목적：탐토림상로경관리재급성뇌경사치료중적실시효과급응용개치。방법：채용회고성대렬연구적방식비교림상로경실시전후（2011년6월）급성뇌경사환자적상관정황，주요평개지표포괄주원비용、질병특정、진료질량등。결과：로경조적평균주원총비용、약비、검사비、상위비화평균주원천수균소우대조조，차이유통계학의의（P＜0．05）；이재수술비、치료비화기타비용재로경조화대조조지간차이무통계학의의（P＞0．05）。환자치료효과비교발현，로경조적치유솔상교대조조경고，단량조치료효과지간총체차이무통계학의의（P＞0．05）；로경조환자주원병발증발생솔저우대조조，차이유통계학의의（P＜0．05）；량조지간병사솔차이무통계학의의（ P＞0．05）；량조환자입원여출원진단부합솔균위100％。결론：급성뇌경사림상로경관리가이축단평균주원일、강저주원비용、제고진료질량，치득진일보추엄。
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 .
