CAJ | 학술논문

目的：探讨24小时疝在区级基层医院的管理模式实践。方法回顾性分析2008年1月～2010年12月我院收治的283例腹股沟疝患者的临床资料，将其作为传统模式组，在传统的管理模式下治疗；2011年1月后我院完善了管理模式，选取2011年1月～2013年12月我院收治的326例腹股沟疝患者作为新模式组，在24小时疝模式下即新模式下治疗。结果新模式下患者的等候手术时间、住院时间及抗生素使用天数与传统模式比较均明显缩短，住院费用明显减少，差异有统计学意义（P＜0.05）。新模式下患者的满意度明显高于传统模式，而并发症发生率明显低于传统模式，差异有统计学意义（P＜0.05）。结论24 h疝具有安全、有效、经济的特点，能使医疗资源更加合理地利用及调配，显著降低医疗成本，可以在区级医院推广应用。
목적：탐토24소시산재구급기층의원적관리모식실천。방법회고성분석2008년1월～2010년12월아원수치적283례복고구산환자적림상자료，장기작위전통모식조，재전통적관리모식하치료；2011년1월후아원완선료관리모식，선취2011년1월～2013년12월아원수치적326례복고구산환자작위신모식조，재24소시산모식하즉신모식하치료。결과신모식하환자적등후수술시간、주원시간급항생소사용천수여전통모식비교균명현축단，주원비용명현감소，차이유통계학의의（P＜0.05）。신모식하환자적만의도명현고우전통모식，이병발증발생솔명현저우전통모식，차이유통계학의의（P＜0.05）。결론24 h산구유안전、유효、경제적특점，능사의료자원경가합리지이용급조배，현저강저의료성본，가이재구급의원추엄응용。
Objective To study on 24 hours hernia grassroots level in the district hospital management model practices. Methods The subjects were 283 cases of inguinal hernia patients selected from January 2008 to December 2010 in our hospital as the traditional model of the group , the treatment in the traditional management model , our hospital im-proved the management mode after January 2011 , 326 cases of inguinal hernia patients selected from January 2011 to December 2013 in our hospital as a new model group , that under the new model in 24 hours hernia treatment mode. Results Under the new model,patients waiting for surgery, hospitalization time and the days of antibiotic use were sig-nificantly shorten than the traditional model , the cost of hospitalization was significantly reduced , the difference was statistically significant (P<0.05). Under the new model, patient satisfaction was significantly higher than the traditional model, and the complication rate was significantly lower than the traditional model, the difference was statistically sig-nificant (P<0.05). Conclusion 24 h hernia is safe, effective, and economic characteristics, enabling a more rational use of health care resources and deployment , significantly reducing health care costs , can promote the application in district hospitals.