临床路径诊疗方案治疗膝关节骨性关节炎临床研究  

Clinical Pathway Diagnosis and Treatment Regimen for Knee Osteoarthritis

作　　者：王丰[1] 杜连胜[1] 张秋实[1] 甄朋超[1] 

机构地区：[1]北京中医药大学附属护国寺中医医院,北京100035

出　　处：《中医学报》2014年第4期586-588,共3页Acta Chinese Medicine

摘　　要：目的:分析临床路径管理在膝关节骨性关节炎中的应用。方法:将80例患者按随机数字表法分为路径组和对照组,路径组采用临床路径管理方法治疗,对照组采用常规诊疗方法。结果:临床路径组患者疗效同对照组相同,差异无统计学意义(P>0.05),平均住院费用、西药费用、平均住院天数、医护满意度,路径组显著低于对照组,差异有统计学意义(P<0.05)。中医治疗费、患者满意度,路径组明显高于对照组,差异有统计学意义(P>0.05)。结论:临床路径管理治疗膝关节骨性关节炎能提高中医药治疗比例、减少住院费用、缩短住院时间、患者满意度高。Objective： To analyze clinical pathway management in the application of the knee joint osteoarthritis. Methods： 80 pa- tients according to random number table method were divided into the pathway group and the control group, the pathway group was treated with clinical pathway management methods, the control group was given conventional diagnosis and treatment methods. Re- suits： Comparison the curative effect of the two groups showed that the difference wasn＇t statistically significant （ P 〉 0.05 ）. The average hospitalization cost, western medicine cost, average hospitalization days and medical satisfaction degree of the pathway group were significantly lower than that of the control group, and the differences was statistically significant （ P 〈 0.05 ）. Chinese medicine treatment cost, patients satisfaction degree of the pathway group were significantly higher than that of the control group, and the difference was statistically significant （ P 〈 0.05 ）. Conclusion ： clinical pathway management treatment of knee osteoar- thritiscan can improve the proportion of traditional Chinese medicine treatment, reduce hospitalization costs, shorten hospitalization time, enhance patient satisfaction.

关 键 词：膝关节骨性关节炎 "临床路径" "膝痹病" 

分 类 号：R684.3[医药卫生—骨科学]