构建院内静脉血栓栓塞症防治管理体系的效果分析  

Analysis of effectiveness of establishing a management system of preventing and curing venous thromboembolism

作　　者：张敏[1] 黄荷[1] 王勇[1] 宋清坤[1] 尹金淑[1] 徐建立[1] 

机构地区：[1]首都医科大学附属北京世纪坛医院医务处,100038

出　　处：《北京医学》2016年第5期461-463,共3页Beijing Medical Journal

摘　　要：目的探讨构建院内静脉血栓栓塞症(venous thromboembolism,VTE)防治管理体系的效果。方法构建院内VTE防治管理体系,对VTE诊治进行管理,评估实施后的效果。结果通过实施院内VTE防治管理工作,医务人员VTE防治意识明显提高,院内VTE诊断例数(83例vs.60例)、治疗率(83.1%vs.61.7%)提高,VTE相关死亡病例(0例vs.2例)、医生因素未治疗比例(38.5%vs.56.5%)下降,平均住院日(18.4 d vs.20.5 d)及平均住院费用(44421.5元vs.45 980.4元)无变化。结论构建院内VTE防治管理体系能有效提高院内VTE的规范诊治。Objective To explore the effectiveness of establishing a management system of preventing and curing venous thromboembolism（VTE） within hospital. Methods The effectiveness of establishing a management system of preventing and curing VTE within hospital was evaluated after the implementation. Results After the implementation of hospital VTE prevention management work, the concept of VTE prevention and treatment was improved among clinical professionals. With the alternative management, the number of diagnosed VTE cases（83 cases vs. 60 cases） and rate of treatment increased（83.1% vs. 61.7%）. VTE caused deaths（0 case vs. 2 cases） and the doctor-related refusal treatment rate（38.5% vs. 56.5%） declined. The average hospitalization days and costs had no significant change. Conclusion Through the establishing a management system of preventing and curing VTE within hospital can improve standard for the diagnosis and treatment of VTE.

关 键 词：静脉血栓栓塞症 管理体系 效果 

分 类 号：R543.6[医药卫生—心血管疾病]