鼻出血临床路径实施的效果分析  

Analysis of effect of clinical pathway implementation for rhinorrhagia

作　　者：胡秀娟[1] 魏雪梅 兰德 张杰[1] 康伟 HU Xiujuan;WEI Xuemei;LAN De(Department of Otorhinolaryngology,Head and Neck Surgery,the Affiliated Hospital of Chengdu University,Chengdu610081,China)

机构地区：[1]成都大学附属医院耳鼻咽喉颈外科,四川成都610081

出　　处：《安徽医学》2020年第8期891-893,共3页Anhui Medical Journal

基　　金：四川省医学科研青年创新课题(项目编号:Q14003)。

摘　　要：目的分析和评价实施鼻出血临床路径管理的效果。方法采用回顾性队列研究设计,选择成都大学附属医院2018年2月至2019年7月入院的214例鼻出血患者作为研究对象,其中进行常规诊疗的116例为对照组,进行鼻出血临床路径管理的98例为观察组,分析两组患者住院时间、住院费用、治疗总有效率、并发症发生率等方面的差异。结果观察组住院总费用、药费、耗材费用和住院时间均少于对照组,差异均有统计学意义(t=-2.111、-2.172、-2.014、-3.793,P=0.036、0.031、0.045、<0.001);观察组治疗总有效率(98.98%)高于对照组(93.10%),差异有统计学意义(χ^2=4.553,P=0.033);两组并发症发生率差异无统计学意义(χ^2=0.550,P=0.458)。结论鼻出血临床路径管理可以缩短患者平均住院时间、降低医疗成本、提高疗效,值得推广应用。Objective To analyze and evaluate the effect of clinical pathway management of rhinorrhagia.Methods A retrospective cohort study was designed to select 214 patients with rhinorrhagia as the objects,who were in the Affiliated Hospital of Chengdu University from February 2018 to July 2019.A total of 116 cases were given routine treatment as the control group,and98 cases were given clinical pathway management as the observation group.The differences in hospitalization time, hospitalization cost,total effective rate and incidence of complications between the two groups were analyzed. Results The total hospitalization cost, drug cost, consumables cost and hospitalization time in observation group were less than those in control group,and the differences were statistically significant(t=-2.111,-2.172,-2.014,-3.793, P=0.036,0.031,0.045,<0.001).The total effective rate of observation group(98.98%) was higher than that of control group(93.10%), and the differences were statistically significant(χ^2 =4.553,P=0.033).The difference in the complication rate between the two groups was notstatistically significant(χ^2 =0.550,P=0.458).Conclusion The clinical pathway management of rhinorrhagia is worth promoting because it can shorten the average hospitalization days, reduce the medical cost and improve the curative effect.

关 键 词：临床路径 鼻出血 疾病诊断相关分类 

分 类 号：R765.23[医药卫生—耳鼻咽喉科]