急性脑梗死患者单病种质量控制总结

目的 总结海南省某院急性脑梗死患者单病种质量控制的执行及经验。方法 根据卫生部“第一批单病种质量控制指标”设计表格,将查阅的98例脑梗死患者病历资料记录在预先设计的表格上,以Excel对病案资料进行分析。结果 7.14%的患者在3 h内就诊;75.51%的患者在45min内完成头颅CT检查,35.71%患者在45 min内完成急诊血液检查;4.08%的患者进行溶栓治疗;所有入院脑梗死患者均得到抗栓治疗;58.16%的患者进行了康复治疗;68.37%的患者治疗有效;平均住院日14.18 d,平均住院总费用16 358元,平均药物比例49.54%。结论 某院对脑梗死患者的诊疗基本符合单病种质量控制指标要求。

Application of quality control in patients with acute cerebral infarction

Objective To sum up the experience of single disease quality control in acute cerebral infarction in a hospital in Hainan province. Methods According to the requirements of“Single Disease Quality Control Index”issued by the Ministry of Health, the patients＆#39; information was recorded in pre-designed form and analyzed with Ex-cel. Results 7.14% patients came to the doctors within 3 h, 75.51% patients finished the CT scan within 45 min, 35.71%patients finished the blood tests within 45 min. 4.08%patients received thrombolytic therapy, all patients re-ceived antithrombotic therapy, 58.16%patients underwent rehabilitation and 68.37%patients got successful treatment. The average hospitalization days were 14.18 days, the mean total cost was 16 358 RMB, and the mean medicine pro-portion was 49.54%. Conclusion The diagnosis and treatment of acute cerebral infarction in the hospital were in line with“Single Disease Quality Control Index”.