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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 effect of establishing a prevention and management system of venous thromboembolism (VTE) in hospital. Methods The hospital VTE prevention and control system was constructed to manage VTE diagnosis and treatment and evaluate the effect after implementation. Results The VTE prevention and treatment awareness among medical staff was significantly improved by implementing VTE prevention and control in hospital. The number of VTE diagnosis in hospital (83 vs. 60 cases), the treatment rate (83.1% vs.61.7%), VTE-related deaths (0 case vs.2 cases). There was no change in the proportion of untreated doctors (38.5% vs.56.5%), the average length of stay (18.4 days vs.20.5 days) and average hospitalization expenses (44421.5 yuan vs.45 980.4 yuan). Conclusion The construction of hospital VTE prevention and control system can effectively improve the standard diagnosis and treatment of VTE in hospital.