[1]柳 星,卢会琴.脑梗死恢复期的临床路径实施效果分析[J].医学信息,2018,31(19):128-130.[doi:10.3969/j.issn.1006-1959.2018.19.038]
　LIU Xing,LU Hui-qin.Analysis of Clinical Path Implementation in the Recovery Period of Cerebral Infarction[J].Medical Information,2018,31(19):128-130.[doi:10.3969/j.issn.1006-1959.2018.19.038]
点击复制

脑梗死恢复期的临床路径实施效果分析()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
31卷
期数:
2018年19期
页码:
128-130
栏目:
调查分析
出版日期:
2018-10-01

文章信息/Info

Title:
Analysis of Clinical Path Implementation in the Recovery Period of Cerebral Infarction
文章编号:
1006-1959（2018）19-0128-03
作者:
柳 星1 ; 卢会琴2
1.安徽中医药大学第二附属医院医务部，安徽 合肥 230061； 2.安徽中医药大学第三附属医院急诊科，安徽 合肥 230038
Author(s):
LIU Xing1; LU Hui-qin2
1. Department of Medical Affairs,the Second Affiliated Hospital of Anhui University of Traditional Chinese Medicine, Hefei 230061,Anhui,China; 2.Department of Emergency,the Third Affiliated Hospital of Anhui University of Traditional Chinese Medicine,Hefei 230038,Anhui,China
关键词:
脑梗死; 恢复期; 临床路径; 住院费用
Keywords:
Cerebral infarction; Recovery period; Clinical pathway; Hospitalization expenses
分类号:
R319
DOI:
10.3969/j.issn.1006-1959.2018.19.038
文献标志码:
A
摘要:
目的 通过对脑梗死恢复期实施临床路径管理的患者与未实施临床路径管理的患者医疗费用结构的变化的分析，探讨临床路径实施效果，为优化该病种诊疗模式提供参考依据。方法 HIS系统随机调取2017年1月~2018年6月诊断为脑梗死恢复期患者的住院资料，其中292例入临床路径管理，设为临床路径组，328例未入临床路径管理，设为非临床路径组，分别记录两组患者平均住院费用、药品费用、材料费用及住院日情况进行对比分析。结果 脑梗死恢复期临床路径组患者平均住院费用、药品费用、材料费用及住院日较非临床路径组患者下降，统计学意义显著（P＜0.01）。结论 实施临床路径管理能有效降低脑梗死恢复期患者住院各项费用，缩短住院日，规范医护人员临床诊疗行为，保障医疗安全。
Abstract:
Objective To analyze the changes in the medical cost structure of patients who underwent clinical path management during the recovery period of cerebral infarction and the patients who did not implement clinical pathway management,and to provide a reference for optimizing the diagnosis and treatment mode of the disease.Methods The HIS system randomly selected hospitalization data of patients diagnosed with cerebral infarction during the recovery period from January 2017 to June 2018. Of these,292 were included in the clinical pathway management, and were included in the clinical pathway group.328 cases were not included in the clinical path management, and were set as non-clinical path group.The average hospitalization cost,drug cost, material cost and hospitalization day of the two groups were recorded for comparative analysis.Results The average hospitalization cost,drug cost,material cost and hospitalization day of the patients in the clinical pathology group were significantly lower than those in the non-clinical path group,with statistical significance(P<0.01).Conclusion The implementation of clinical pathway management can effectively reduce the cost of hospitalization for patients with cerebral infarction,shorten the hospitalization day,standardize the clinical diagnosis and treatment behavior of medical staff,and ensure medical safety.

参考文献/References:

[1]周仲瑛，主编.中医内科学[M].北京:中国中医药出版社,2007:304-315. [2]冯浩.临床路径的基本概念及其应用[J].临床医药文献电子杂志,2016,3(49):9871. [3]夏洪,姚旭.临床路径在控制医疗费用中的作用[J].现代经济信息,2018(8):135. [4]龚伟伟,赵太宏,肖雨龙,等.综合措施缩短平均住院日的效果分析[J].东南国防医药,2017,19(4):421-423. [5]过栋,董文霞.综合并优化干预措施对缩短平均住院日的成效与思考[J].江苏卫生事业管理,2018(2):198-200. [6]So JB,Lim ZL,Lin HA,et al.Reduction of hospital stay and cost after the implementation of a clinical pathway for radical gastrectomy for gastric cancer[J].Gastric cancer,2008,11(2): 81-85. [7]黄先涛,武雪亮,薛军,等.实行临床路径管理对医生诊疗行为影响的研究[J].重庆医学,2017,46(20): 2812-2815.

相似文献/References:

[1]刘海威.延续性护理对脑梗死运动功能障碍患者生活质量及社会支持的影响[J].医学信息,2018,31(02):160.[doi:10.3969/j.issn.1006-1959.2018.02.062]
　LIU Hai-wei.Effect of Continuous Nursing on Quality of Life and Social Support in Patients with Motor Dysfunction of Cerebral Infarction[J].Medical Information,2018,31(19):160.[doi:10.3969/j.issn.1006-1959.2018.02.062]
[2]韩艳庆,董 成,徐 玲.脑梗死并发急腹症诊治分析[J].医学信息,2018,31(06):188.[doi:10.3969/j.issn.1006-1959.2018.06.068]
　HAN Yan-qing,DONG Cheng,XU Ling.Analysis of Diagnosis and Treatment of Acute Cerebral Infarction Complicating Acute Abdominal Disease[J].Medical Information,2018,31(19):188.[doi:10.3969/j.issn.1006-1959.2018.06.068]
[3]王明远,陈海燕,张延朋,等.颈动脉斑块、血同型半胱氨酸及血尿酸对短暂性脑缺血 发作进程的影响研究[J].医学信息,2018,31(08):65.[doi:10.3969/j.issn.1006-1959.2018.08.020]
　WANG Ming-yuan,CHEN Hai-yan,ZHANG Yan-peng,et al.Effects of Carotid Plaque,Homocysteine and Serum Uric Acid on Transient Ischemic Attack[J].Medical Information,2018,31(19):65.[doi:10.3969/j.issn.1006-1959.2018.08.020]
[4]甘雪梅.系统护理对脑梗死患者生活质量及满意度的影响[J].医学信息,2018,31(08):172.[doi:10.3969/j.issn.1006-1959.2018.08.062]
　GAN Xue-mei.Effect of Systematic Nursing on Quality of Life and Satisfaction of Patients with Cerebral Infarction[J].Medical Information,2018,31(19):172.[doi:10.3969/j.issn.1006-1959.2018.08.062]
[5]单 敏,常燕燕,赵大鹏,等.急性前循环脑梗死患者梗死体积与 血清NSE水平相关性研究[J].医学信息,2018,31(10):1.[doi:10.3969/j.issn.1006-1959.2018.10.001]
　SHAN Min,CHANG Yan-yan,ZHAO Da-peng,et al.Correlation between Infarct Volume and Serum NSE Level in Patients with Acute Anterior Circulation Cerebral Infarction[J].Medical Information,2018,31(19):1.[doi:10.3969/j.issn.1006-1959.2018.10.001]
[6]陈艳男,徐 劲.脑梗死患者血清SAA、hs-CRP与颅内动脉粥样硬化狭窄程度的相关性[J].医学信息,2022,35(09):120.[doi:10.3969/j.issn.1006-1959.2022.09.030]
　CHEN Yan-nan,XU Jin.Correlation Between Serum SAA, hs-CRP and Intracranial Atherosclerotic Stenosis in Patients with Cerebral Infarction[J].Medical Information,2022,35(19):120.[doi:10.3969/j.issn.1006-1959.2022.09.030]
[7]李福滔,张素平.单侧颈内动脉夹层致脑梗死1例报道[J].医学信息,2018,31(11):191.[doi:10.3969/j.issn.1006-1959.2018.11.065]
[8]张怀祥,段晓宇.脑梗死后认知障碍的病理学机制、相关危险因素及治疗[J].医学信息,2018,31(16):21.[doi:10.3969/j.issn.1006-1959.2018.16.007]
　ZHANG Huai-xiang,DUAN Xiao-yu.Pathological Mechanism,Related Risk Factors and Treatment of Cognitive Impairment after Cerebral Infarction[J].Medical Information,2018,31(19):21.[doi:10.3969/j.issn.1006-1959.2018.16.007]
[9]吴永惠.缺血性中风病的中医药治疗[J].医学信息,2022,35(12):89.[doi:10.3969/j.issn.1006-1959.2022.12.021]
　WU Yong-hui.Traditional Chinese Medicine Treatment of Ischemic Stroke[J].Medical Information,2022,35(19):89.[doi:10.3969/j.issn.1006-1959.2022.12.021]
[10]杜 敏.血清小而密低密度脂蛋白胆固醇检测对预测脑梗死患者预后评估的价值[J].医学信息,2019,32(10):173.[doi:10.3969/j.issn.1006-1959.2019.10.058]
　DU Min.The Value of Serum Small,Dense Low-density Lipoprotein Cholesterol Test in Predicting the Prognosis of Patients with Cerebral Infarction[J].Medical Information,2019,32(19):173.[doi:10.3969/j.issn.1006-1959.2019.10.058]
[11]李 月.脑梗死恢复期患者施行康复护理的效果[J].医学信息,2019,32(24):180.[doi:10.3969/j.issn.1006-1959.2019.24.067]
　LI Yue.Effect of Rehabilitation Nursing for Patients with Cerebral Infarction Recovery Period[J].Medical Information,2019,32(19):180.[doi:10.3969/j.issn.1006-1959.2019.24.067]

更新日期/Last Update: 2018-10-29