CAJ | 학술논문

目的：研究制订卒中相关肺炎（ stroke－associated pneumonia， SAP）防控工作流程，并通过临床实施检查其实用性和有效性。方法把制订出的SAP防控流程应用于普通卒中病房。采用随机分组，将480例急性卒中患者分为流程组和对照组，每组各240例。流程组按照SAP四步防控流程开展工作，对照组采用神经内科常规医疗护理模式开展工作，对比两组住院期间SAP 的发病率、平均住院时间和住院费用。结果流程组住院期间 SAP 发病率（7．1％）明显低于对照组（12．9％），两组对比差异有统计学意义（P＜0．05）。流程组住院时间（11．4±3．2）d和费用（7343．5±738．1）元均明显低于对照组，差异有统计学意义（ P＜0．05）。结论按照SAP的防控流程管理卒中病房，可有效降低SAP的发生，并缩短住院时间，降低住院费用。
목적：연구제정졸중상관폐염（ stroke－associated pneumonia， SAP）방공공작류정，병통과림상실시검사기실용성화유효성。방법파제정출적SAP방공류정응용우보통졸중병방。채용수궤분조，장480례급성졸중환자분위류정조화대조조，매조각240례。류정조안조SAP사보방공류정개전공작，대조조채용신경내과상규의료호리모식개전공작，대비량조주원기간SAP 적발병솔、평균주원시간화주원비용。결과류정조주원기간 SAP 발병솔（7．1％）명현저우대조조（12．9％），량조대비차이유통계학의의（P＜0．05）。류정조주원시간（11．4±3．2）d화비용（7343．5±738．1）원균명현저우대조조，차이유통계학의의（ P＜0．05）。결론안조SAP적방공류정관리졸중병방，가유효강저SAP적발생，병축단주원시간，강저주원비용。
Objective To constitute the work flow responding to stroke-associated pneumonia( SAP) and determine the effects on the prevention and treatment of SAP.Methods We designed a work flow responding to SAP and observed the effectiveness of the flow in the stroke unit.480 acute stroke patients were divided into two groups by randomized control trial.The work flow group was treated with four-step procedure interventions, while the control group was given the conventional treatment and nursing measures.The incidence of SAP, the hospitalization duration and expenses between the two groups were compared.Results Seventeen patients suf-fered from SAP in the work flow group and 31 patients in the control group.The incidence of SAP, the hospitalization duration and ex-penses in the work flow group were lower than in the control group, the difference between the two groups was statistically significant (P<0.05).Conclusions Using work flow can not only effectively prevent stroke-associated pneumonia but also shorten the length of hospital stay as well as hospitalization expenses.