国际中医中药杂志
國際中醫中藥雜誌
국제중의중약잡지
INTERNATIONAL JOURNAL OF TRIDITIONAL CHINESE MEDICINE
2013年
8期
686-688
,共3页
家庭病床%蛇串疮%面瘫%中医临床路径
傢庭病床%蛇串瘡%麵癱%中醫臨床路徑
가정병상%사천창%면탄%중의림상로경
Family sickbed patients%Herpes zoster%Facial neuritis%Traditional Chinese medicine clinical pathway%Effect
目的 分析家庭病床患者实施中医临床路径后的成效.方法 对家庭病床中蛇串疮(带状疱疹)、面瘫(面神经炎)患者的病案资料,对《家庭病床质量控制量表》中蛇串疮、面瘫的中医临床路径、具体中药汤剂、外用中药种类及疗程、针灸疗程等进行整理,通过回顾性研究及非同期历史对照,分析实施中医临床路径前后两组患者的建立家庭病床天数、预后、知情率和满意度等.结果 治疗组的建床时间(11.67±1.91)d、上转率12.20％ (10/82)明显低于对照组[分别为(13.88±2.61)d,50.00％(41/82)],差异均有统计学意义(t建床时间=-6.1743、x2上转率=27.3476,P均＜0.01)；治疗组的治愈率87.80％(72/82)、知情率97.56％(80/82)和满意度91.46％(75/82)明显高于对照组[分别为50.00％(41/82)、65.85％ (54/82)、50.00％ (41/82)],差异均有统计学意义(x2值分别为27.3476、27.5781、34.0489,P均＜0.01).结论 为家庭病床患者制定的蛇串疮(带状疱疹)、面瘫(面神经炎)临床路径有效可行.
目的 分析傢庭病床患者實施中醫臨床路徑後的成效.方法 對傢庭病床中蛇串瘡(帶狀皰疹)、麵癱(麵神經炎)患者的病案資料,對《傢庭病床質量控製量錶》中蛇串瘡、麵癱的中醫臨床路徑、具體中藥湯劑、外用中藥種類及療程、針灸療程等進行整理,通過迴顧性研究及非同期歷史對照,分析實施中醫臨床路徑前後兩組患者的建立傢庭病床天數、預後、知情率和滿意度等.結果 治療組的建床時間(11.67±1.91)d、上轉率12.20％ (10/82)明顯低于對照組[分彆為(13.88±2.61)d,50.00％(41/82)],差異均有統計學意義(t建床時間=-6.1743、x2上轉率=27.3476,P均＜0.01)；治療組的治愈率87.80％(72/82)、知情率97.56％(80/82)和滿意度91.46％(75/82)明顯高于對照組[分彆為50.00％(41/82)、65.85％ (54/82)、50.00％ (41/82)],差異均有統計學意義(x2值分彆為27.3476、27.5781、34.0489,P均＜0.01).結論 為傢庭病床患者製定的蛇串瘡(帶狀皰疹)、麵癱(麵神經炎)臨床路徑有效可行.
목적 분석가정병상환자실시중의림상로경후적성효.방법 대가정병상중사천창(대상포진)、면탄(면신경염)환자적병안자료,대《가정병상질량공제량표》중사천창、면탄적중의림상로경、구체중약탕제、외용중약충류급료정、침구료정등진행정리,통과회고성연구급비동기역사대조,분석실시중의림상로경전후량조환자적건립가정병상천수、예후、지정솔화만의도등.결과 치료조적건상시간(11.67±1.91)d、상전솔12.20％ (10/82)명현저우대조조[분별위(13.88±2.61)d,50.00％(41/82)],차이균유통계학의의(t건상시간=-6.1743、x2상전솔=27.3476,P균＜0.01)；치료조적치유솔87.80％(72/82)、지정솔97.56％(80/82)화만의도91.46％(75/82)명현고우대조조[분별위50.00％(41/82)、65.85％ (54/82)、50.00％ (41/82)],차이균유통계학의의(x2치분별위27.3476、27.5781、34.0489,P균＜0.01).결론 위가정병상환자제정적사천창(대상포진)、면탄(면신경염)림상로경유효가행.
Objective To analyze the effect of implementing traditional Chinese medicine (TCM) clinical pathway on family sickbed patients.Methods Those family sickbed patients with herpes zoster or facial neuritis were involved in this study.Their medical records and data of ‘Family sickbed quality control scale’ were collected,in which there are methods of TCM clinical pathway,decoction of the Chinese Medicine,ingredients and treatment procedures of the topically used TCMs,and acupuncture treatment procedures were documented.The family sickbed days,prognosis,informed rate and satisfaction rate were analyzed before and after TCM clinical pathway treatment.Results In the treatment group,the family sickbed days (11.67± 1.91)d and referral rate 12.20％ (10/82) were significantly lower (P＜ 0.01) than those in the control group [(1 3.88 ± 2.61) d,50.00％ (41/82) respectively].The rate of cure87.80％ (72/82),the rate of informed patient 97.56％ (80/82) and the rate of satisfaction91.46％ (75/82) were significantly higher(P＜ 0.01)than those in the control group [50.00％ (41/82)、65.85％ (54/82)、50.00％ (41/82) respectively].Conclusion The clinical pathways for family sickbed patients with herpes zoster or facial neuritis were effective.
