海南医学
海南醫學
해남의학
HAINAN MEDICAL JOURNAL
2014年
11期
1616-1617,1618
,共3页
早产儿%转运%临床路径
早產兒%轉運%臨床路徑
조산인%전운%림상로경
Premature infants%Transport%Clinical pathway
目的：评价临床路径管理对区域性早产儿转运的效果。方法选取2011年7月至2013年3月通过临床路径转入我院的早产儿为转运组75例，未通过临床路径转入我院的早产儿为对照组21例，收集相关临床资料进行比较分析。结果转运组早产儿入院时龄短于对照组[(3.11±3.08) h vs (6.38±6.75) h，P<0.05]；两组各并发症比较，转运组的低体温(1.3%vs 38.1%)、低血糖(24.0%vs 66.7%)、呼吸困难（21.3%vs 57.1%）、心率异常(0 vs 28.6%)及低氧血症（12.0%vs 52.4%）发生率均低于对照组(P<0.05)；与对照组比较，转运组住院费用少[(9280±10873)元vs (23767±29155)元，P<0.05]，住院时间短[(11.49±10.90) d vs (22.52±21.71) d，P<0.05]；治愈好转率，转运组高于对照组(96.0%vs 71.4%，P<0.05)。结论在区域性早产儿转运中应用临床路径能提高危重早产儿的抢救成功率，改善其预后，同时有利于服务质量的持续改进，使社会医疗资源得到合理运用。
目的：評價臨床路徑管理對區域性早產兒轉運的效果。方法選取2011年7月至2013年3月通過臨床路徑轉入我院的早產兒為轉運組75例，未通過臨床路徑轉入我院的早產兒為對照組21例，收集相關臨床資料進行比較分析。結果轉運組早產兒入院時齡短于對照組[(3.11±3.08) h vs (6.38±6.75) h，P<0.05]；兩組各併髮癥比較，轉運組的低體溫(1.3%vs 38.1%)、低血糖(24.0%vs 66.7%)、呼吸睏難（21.3%vs 57.1%）、心率異常(0 vs 28.6%)及低氧血癥（12.0%vs 52.4%）髮生率均低于對照組(P<0.05)；與對照組比較，轉運組住院費用少[(9280±10873)元vs (23767±29155)元，P<0.05]，住院時間短[(11.49±10.90) d vs (22.52±21.71) d，P<0.05]；治愈好轉率，轉運組高于對照組(96.0%vs 71.4%，P<0.05)。結論在區域性早產兒轉運中應用臨床路徑能提高危重早產兒的搶救成功率，改善其預後，同時有利于服務質量的持續改進，使社會醫療資源得到閤理運用。
목적：평개림상로경관리대구역성조산인전운적효과。방법선취2011년7월지2013년3월통과림상로경전입아원적조산인위전운조75례，미통과림상로경전입아원적조산인위대조조21례，수집상관림상자료진행비교분석。결과전운조조산인입원시령단우대조조[(3.11±3.08) h vs (6.38±6.75) h，P<0.05]；량조각병발증비교，전운조적저체온(1.3%vs 38.1%)、저혈당(24.0%vs 66.7%)、호흡곤난（21.3%vs 57.1%）、심솔이상(0 vs 28.6%)급저양혈증（12.0%vs 52.4%）발생솔균저우대조조(P<0.05)；여대조조비교，전운조주원비용소[(9280±10873)원vs (23767±29155)원，P<0.05]，주원시간단[(11.49±10.90) d vs (22.52±21.71) d，P<0.05]；치유호전솔，전운조고우대조조(96.0%vs 71.4%，P<0.05)。결론재구역성조산인전운중응용림상로경능제고위중조산인적창구성공솔，개선기예후，동시유리우복무질량적지속개진，사사회의료자원득도합리운용。
Objective To evaluate the clinical path management for regional transport effects in preterm chil-dren. Methods Selected from July 2011 to March 2013 75 cases transferred into our hospital through clinical path-way to be transport group, 21 cases transferred into our hospital not through the clinical pathway to be control group, the relevant clinical data were collected for comparative analysis. Results Transport group of age of admission was shorter than the control group [(3.11 ± 3.08)h vs (6.38 ± 6.75) h, P<0.05];Compared two groups of various complica-tions, hypothermia (1.3%vs 1.3%), hypoglycemia (24.0%vs 24.0%), dyspnea (21.3%vs 21.3%), abnormal heart rate (0 vs 28.6%) and hypoxemia (12.0%vs 12.0%), the incidence of transport group were lower than control group (P<0.05);Compared with the control group, transport group had less hospitalization expenses [(9 280±10 873) yuan than (23 767±29 155), P<0.05), shorter hospitalization time [(11.49 ±10.90) than (22.52±21.71), P<0.05);The cure and im-provement rate, transport group was higher than the control group (96%vs 71.4%, P<0.05). Conclusions Applica-tion of clinical pathway in the regional premature transshipment, could improve the rescue success rate of critically ill premature infants and the prognosis.it was helpful to improve the quality of service at the same time, made the social medical treatment resources to pbtain the reasonable use.
