卒中相关肺炎防控流程的制订及其实用性和有效性  

Work flow responding to stroke-associated pneumonia

作　　者：刘宇[1] 李洪[2] 李清亚[3] 宋捷[4] 张利伟[1] 李志一[1] 

机构地区：[1]解放军第二六一医院神经内科,北京100094 [2]解放军第二六一医院神经外科,北京100094 [3]解放军第二六一医院中医科,北京100094 [4]解放军第二六一医院消化科,北京100094

出　　处：《武警医学》2015年第6期616-618,共3页Medical Journal of the Chinese People's Armed Police Force

摘　　要：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。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.

关 键 词：脑卒中 肺炎 工作流程 

分 类 号：R563.1[医药卫生—呼吸系统]