CAJ | 학술논문

目的：总结海南省某院急性脑梗死患者单病种质量控制的执行及经验。方法根据卫生部“第一批单病种质量控制指标”设计表格，将查阅的98例脑梗死患者病历资料记录在预先设计的表格上，以Excel对病案资料进行分析。结果7.14%的患者在3 h内就诊；75.51%的患者在45 min内完成头颅CT检查，35.71%患者在45 min内完成急诊血液检查；4.08%的患者进行溶栓治疗；所有入院脑梗死患者均得到抗栓治疗；58.16%的患者进行了康复治疗；68.37%的患者治疗有效；平均住院日14.18 d，平均住院总费用16358元，平均药物比例49.54%。结论某院对脑梗死患者的诊疗基本符合单病种质量控制指标要求。
목적：총결해남성모원급성뇌경사환자단병충질량공제적집행급경험。방법근거위생부“제일비단병충질량공제지표”설계표격，장사열적98례뇌경사환자병력자료기록재예선설계적표격상，이Excel대병안자료진행분석。결과7.14%적환자재3 h내취진；75.51%적환자재45 min내완성두로CT검사，35.71%환자재45 min내완성급진혈액검사；4.08%적환자진행용전치료；소유입원뇌경사환자균득도항전치료；58.16%적환자진행료강복치료；68.37%적환자치료유효；평균주원일14.18 d，평균주원총비용16358원，평균약물비례49.54%。결론모원대뇌경사환자적진료기본부합단병충질량공제지표요구。
Objective To sum up the experience of single disease quality control in acute cerebral infarction in a hospital in Hainan province. Methods According to the requirements of“Single Disease Quality Control Index”issued by the Ministry of Health, the patients' information was recorded in pre-designed form and analyzed with Ex-cel. Results 7.14% patients came to the doctors within 3 h, 75.51% patients finished the CT scan within 45 min, 35.71%patients finished the blood tests within 45 min. 4.08%patients received thrombolytic therapy, all patients re-ceived antithrombotic therapy, 58.16%patients underwent rehabilitation and 68.37%patients got successful treatment. The average hospitalization days were 14.18 days, the mean total cost was 16 358 RMB, and the mean medicine pro-portion was 49.54%. Conclusion The diagnosis and treatment of acute cerebral infarction in the hospital were in line with“Single Disease Quality Control Index”.