风温肺热病(非重症社区获得性肺炎)中医临床路径实施效果的回顾性分析  

Retrospective Analysis on Implement Effect of Traditional Chinese Medicine Clinical Pathway for Wind-warm Lung-heat Disease(Non-severe Community-acquired Pneumonia)

作　　者：毛莉娜[1] 罗光伟[1] 万军[1] 黄燕玲[1] 杨硕[1] 毛先明[1] 黄小龙[1] 

机构地区：[1]武汉市中西医结合医院呼吸内科,武汉430000

出　　处：《世界科学技术-中医药现代化》2015年第10期2075-2078,共4页Modernization of Traditional Chinese Medicine and Materia Medica-World Science and Technology

摘　　要：目的 :从临床疗效、住院天数、医疗费用等方面对风温肺热病(非重症社区获得性肺炎)的中医临床路径实施效果进行评价。方法 :本研究选取198例于2012年1月-2012年12月间在武汉市中西医结合医院呼吸内科住院部住院治疗的风温肺热病(非重症社区获得性肺炎)患者作为对照组,予以常规治疗;另选取179例于2013年1月-2013年12月间同在该院住院治疗的风温肺热病(非重症社区获得性肺炎)患者,按照中医临床路径拟定的方案实施治疗。采用回顾性分析比较两者临床疗效、住院天数、医疗费用的差别。结果:风温肺热病(非重症社区获得性肺炎)中医临床路径方案可在保证临床疗效的前提下缩短住院天数,减少患者医疗费用。结论 :规范化的中医临床路径对于风温肺热病(非重症社区获得性肺炎)的治疗有着积极的影响。因此,风温肺热病(非重症社区获得性肺炎)中医临床路径的制定和实施具有重要意义。This study was aimed to evaluate the feasibility of wind-warm lung-heat disease（non-severe community-acquired pneumonia, CAP） from the clinical curative effect, hospitalization days, medical expenses and other aspects. This study selected 198 wind-warm lung-heat disease（non-severe CAP） inpatients from January, 2012 to December, 2012 with the conventional therapy in the Respiratory Department, Wuhan Integrated Traditional Chinese Medicine（TCM） Western Medicine Hospital as the control group. And another 179 wind-warm lung-heat disease（non-severe CAP） inpatients were selected from January, 2013 to December, 2013 with the TCM clinical pathway treatment in the Respiratory Department of the same hospital as the treatment group. Retrospective analysis was used to compare the clinical curative effects, hospitalization days, and medical cost differences. The results showed that TCM clinical pathway for wind-warm lung-heat disease（non-severe CAP） can shorten the hospitalization days and reduce patients＇ medical costs, and ensure the clinical curative effects. It was concluded that the standardized TCM clinical pathway had positive effect on wind-warm lung-heat disease（non-severe CAP）. Therefore, the formulation and implementation of TCM clinical pathway was of great significance in the treatment of wind-warm lung-heat disease（non-severe CAP）.

关 键 词：风温肺热病(非重症社区获得性肺炎) 中医临床路径 实施效果 回顾性分析 

分 类 号：R563.1[医药卫生—呼吸系统]