中国数字医学
中國數字醫學
중국수자의학
CHINA DIGITAL MEDICINE
2015年
9期
30-32,63
,共4页
胸痛中心%急性肺动脉栓塞%流程优化
胸痛中心%急性肺動脈栓塞%流程優化
흉통중심%급성폐동맥전새%류정우화
chest pain center%acute pulmonary artery embolism%process optimization
目的:研究胸痛中心建设前后急性肺动脉栓塞患者救治的差异。方法:参照国际胸痛中心协会认证的要求,建立该院胸痛中心的管理制度和流程。对胸痛中心成立前(n=51)和成立后(n=63)两组急性肺动脉栓塞患者的基础疾病、诊断时间、溶栓成功率、平均住院时间、人均住院费用及院内病死率进行比较。结果:与胸痛中心成立前比较,胸痛中心成立后患者的基础疾病构成比和溶栓成功率无明显变化(P>0.05),但诊断时间缩短了42.2min(20.8%),平均住院时间缩短了5.3d(30.3%),人均住院费用减少了10556.31元(21.0%),院内病死率明显降低(41.9%)(P<0.01)。结论:采用国际化胸痛中心管理模式,有效缩短了对急性肺动脉栓塞患者的救治时间、明显降低了病死率,是控制医疗费用和提高服务质量的有效方法。
目的:研究胸痛中心建設前後急性肺動脈栓塞患者救治的差異。方法:參照國際胸痛中心協會認證的要求,建立該院胸痛中心的管理製度和流程。對胸痛中心成立前(n=51)和成立後(n=63)兩組急性肺動脈栓塞患者的基礎疾病、診斷時間、溶栓成功率、平均住院時間、人均住院費用及院內病死率進行比較。結果:與胸痛中心成立前比較,胸痛中心成立後患者的基礎疾病構成比和溶栓成功率無明顯變化(P>0.05),但診斷時間縮短瞭42.2min(20.8%),平均住院時間縮短瞭5.3d(30.3%),人均住院費用減少瞭10556.31元(21.0%),院內病死率明顯降低(41.9%)(P<0.01)。結論:採用國際化胸痛中心管理模式,有效縮短瞭對急性肺動脈栓塞患者的救治時間、明顯降低瞭病死率,是控製醫療費用和提高服務質量的有效方法。
목적:연구흉통중심건설전후급성폐동맥전새환자구치적차이。방법:삼조국제흉통중심협회인증적요구,건립해원흉통중심적관리제도화류정。대흉통중심성립전(n=51)화성립후(n=63)량조급성폐동맥전새환자적기출질병、진단시간、용전성공솔、평균주원시간、인균주원비용급원내병사솔진행비교。결과:여흉통중심성립전비교,흉통중심성립후환자적기출질병구성비화용전성공솔무명현변화(P>0.05),단진단시간축단료42.2min(20.8%),평균주원시간축단료5.3d(30.3%),인균주원비용감소료10556.31원(21.0%),원내병사솔명현강저(41.9%)(P<0.01)。결론:채용국제화흉통중심관리모식,유효축단료대급성폐동맥전새환자적구치시간、명현강저료병사솔,시공제의료비용화제고복무질량적유효방법。
Objective: To explore the difference in acute pulmonary embolism before and after building a chest pain center. Methods: By referencing to the requirements certified by the International Chest Pain Center Association, the management system and procedures of the chest pain center in the hospital. The patients with acute pulmonary embolism before (n=51) and after (n=63) the establishment of the chest pain center were compared in terms of underlying diseases, diagnosis time, success rate of thrombolysis, average hospital stay, average hospitalization expense and case fatality rate in hospital. Results: Compared with those before the establishment of the chest pain center, the constituent ratio of underlying diseases and success rate of thrombolysis among patients after the establishment of chest pain center showed no obvious changes (P>0.05), but the diagnosis time was reduced by 42.2min (20.8%), the average hospital stay was decreased by 5.3d (30.3%), the average hospital cost was reduced by RMB 10556.31 yuan (21.0%), and the case fatality rate in hospital was lowered to 41.9% (P<0.01). Conclusion: The international chest pain center management mode can effectively reduce the therapeutic time of acute pulmonary embolism and significantly lower case fatality rate. Therefore, it is an effective method to control medical cost and improve service quality.