高血压鼻出血临床路径应用的初步探讨  

Application of clinical pathway in patients with hypertensive epistaxis

作　　者：范晓华[1] 杜玉凤[1] 李青 刘继荣[1] 

机构地区：[1]济南市第三人民医院耳鼻喉科,山东济南250101 [2]新泰市第一中学校医院

出　　处：《山东大学耳鼻喉眼学报》2005年第6期414-415,共2页Journal of Otolaryngology and Ophthalmology of Shandong University

摘　　要：目的:探讨临床路径(CP)用于高血压鼻出血患者的效果。方法:以2004年高血压鼻出血43例作为研究对象,上半年20例实施传统的治疗与护理,下半年23例实施CP,对比两组治疗效果。结果:入院后血压控制至正常时间对照组为106h,实验组为72h(P<0.05);鼻出血停止的时间对照组为36h,实验组为24h(P<0.05);住院费用对照组为(1 723±213)元,实验组为(1 469±128)元(t=2.52,P<0.05);住院天数实验组缩短到6d(χ2=4.773,P<0.05);两组并发症与预后比较差异无显著性。结论:CP应用于高血压鼻出血的患者,提高了服务质量,规范了医疗护理行为,减少了患者住院费用,缩短了住院时间,值得临床推广应用。Objective： To study the outcome of applying clinical pathway in patients with hypertensive epistaxis. Method ： Out of 43 cases in study, traditional treatment was applied in 20（control group）, and clinical pathway in 23 （experimental group）. Results：Blood pressure reached normal in 106 and 72 hours, nasal hemorrhage was controlled in 36 and 24 hours, and hospital cost was 1 732±231 and 1 469±12（RMB：yuan） on everage in control and experimental groups respectively. The days of hospitalization in experimental group declined to 6 days. All above indicators differed significantly between the two groups（all P 〈 0.05）. The complication and prognosis had no significant difference. Conclusion：The clinical pathway applied on patients with hypertensive epistaxis guarantees the quality of medical and nursing care, decreases the hospital costs and shortens hospitalized days.

关 键 词：鼻出血 高血压 临床护理研究 

分 类 号：R765.3[医药卫生—耳鼻咽喉科]