CAJ | 학술논문

目的：探讨基于循证医学指导的临床路径管理的实施效果。方法选择2013年7~12月于河北北方学院附属第一医院确诊的支气管肺炎患儿88例，随机分为观察组(44例)和对照组(44例)。其中对照组采用传统的常规医疗模式，观察组在对照组基础上，实施基于循证医学指导的临床路径管理。对两组患者的恢复情况、住院时间、住院费用以及满意度进行比较分析。结果观察组有效率(95.45%)显著高于对照组(75.00%)，差异有统计学意义(P<0.05)；观察组住院费用[(4856.0±823.0)元]及住院时间[(10.2±2.0)d]明显低于对照组[(6451.0±845.0)元、(11.8±2.3)d]，差异均有统计学意义(均P<0.05)；观察组总满意率达95.45%，显著高于对照组的77.27%，差异有统计学意义(P<0.05)。结论基于循证医学指导的临床路径管理的实施，能够明显改善患者治疗效果，降低住院费用、缩短住院时间、提高患者满意度，具有较好的适用性和现实意义，值得临床进一步推广。
목적：탐토기우순증의학지도적림상로경관리적실시효과。방법선택2013년7~12월우하북북방학원부속제일의원학진적지기관폐염환인88례，수궤분위관찰조(44례)화대조조(44례)。기중대조조채용전통적상규의료모식，관찰조재대조조기출상，실시기우순증의학지도적림상로경관리。대량조환자적회복정황、주원시간、주원비용이급만의도진행비교분석。결과관찰조유효솔(95.45%)현저고우대조조(75.00%)，차이유통계학의의(P<0.05)；관찰조주원비용[(4856.0±823.0)원]급주원시간[(10.2±2.0)d]명현저우대조조[(6451.0±845.0)원、(11.8±2.3)d]，차이균유통계학의의(균P<0.05)；관찰조총만의솔체95.45%，현저고우대조조적77.27%，차이유통계학의의(P<0.05)。결론기우순증의학지도적림상로경관리적실시，능구명현개선환자치료효과，강저주원비용、축단주원시간、제고환자만의도，구유교호적괄용성화현실의의，치득림상진일보추엄。
Objective To investigate the effect of clinical pathway management guidance based on evidence-based medicine. Methods From July to December 2013, in the First Affiliated Hospital of Hebei North University, 88 chil-dren with bronchial pneumonia were selected and randomly divided into observation group (44 cases) and control group (44 cases). The control group were given conventional medical treatment of traditional pattern, and the observation group were given clinical pathway management guidance based on evidence-based medicine based on the control group. The recovery situation, hospital stay, hospital costs and the satisfaction of two groups were compared and ana-lyzed. Results In the observation group, the effective rate (95.45%) significantly higher than that in the control group (75%), the difference was statistically significant (P< 0.05); the hospitalization expenses [(4856.0±823.0) yuan] and hospitalization time [(10.2±2.0) d] time in observation group were significantly lower than those of the control group [(6451.0±845.0) yuan (11.8±2.3) d], the differences were statistically significant (P< 0.05); the satisfactory rate in ob-servation group (95.45%) higher than that in the control group (77.27%), the difference was statistically significant (P<0.05). Conclusion The implementation of clinical pathway management based on evidence-basedguidance, can signifi-cantly improve the treatment effect, reduce the hospitalization costs and shorten the hospitalization time, improve the satisfaction of patients, has good applicability and practical significance, is worthy of further promotion.