脑出血患者实施临床路径管理的应用效果评价

目的 探讨临床路径管理在脑出血患者治疗过程中的应用效果和价值。方法 收集某三甲医院神经内科主要诊断为脑出血的370例住院患者的病案资料,随机分成路径组和对照组,综合比较两组脑出血患者的相关评价指标。结果 路径组患者的住院总费用、药费、药占比、住院日、神经功能缺损程度评分、住院并发症发生率以及院内感染率均低于对照组（P＜0.05）,日常生活能力评分和总体满意度均高于对照组（P＜0.01）,而两组患者间的出院转归及病死率差异无统计学意义（P＞0.05）。结论 脑出血患者实施临床路径管理可以降低住院费用、缩短平均住院日、促进肢体功能恢复、改善生活质量、提高满意度,值得临床推广应用。

Evaluation on efficacy of clinical pathway management in patients with intracerebral hemorrhage

Objective To analyze the practical effects and value of the clinical pathway management in patients with intracerebral hemorrhage during the therapy sessions. Methods The medical records of 370 patients with primary diagnosis of intracerebral hemorrhage in the department of neurology of certain tertiary hospital were obtained retrospectively,patients were split into clinical pathway group and control group,the relevant indicators between two groups were evaluated and analyzed comprehensively. Results The average total hospitalization expenditure,drugs fees,the ratio of medicine fee,the length of stay,the nerve function defect score,hospitalization incidence of complications and nosocomial infection in pathway group were less than those in the control group (P<0.05),activity of daily living score and the satisfaction degree of patients in pathway group were superior to those in the control group (P<0.05),however,patient outcomes and fatality rate between the two groups had no statistically significant difference (P>0.05). Conclusion Clinical pathway management in patients with intracerebral hemorrhage is helpful for reducing hospital costs,shortening the length of stay,promoting motor functional rehabilitation,improving the quality of life and elevating the satisfaction of patients,which is worthy of further promotion.