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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。
Objective To explore the clinical effect and value of clinical path management in the treatment of patients with intracerebral hemorrhage. Methods The data of 370 inpatients who were mainly diagnosed as cerebral hemorrhage in a neurological department of a top three hospital were collected and randomly divided into the pathological group and the control group. The relevant evaluation indexes of two groups of cerebral hemorrhage were comprehensively compared. Results The total cost of hospitalization, medication, medicine, hospital stay, score of neurological deficit, incidence of hospital complications and nosocomial infection in path group were lower than those in control group (P <0.05), daily life ability score and The overall satisfaction was higher than that of the control group (P <0.01). There was no significant difference in discharge and mortality between the two groups (P> 0.05). Conclusion The implementation of clinical path management in patients with cerebral hemorrhage can reduce the cost of hospitalization, shorten the average length of stay, promote the recovery of limb function, improve the quality of life, and improve the degree of satisfaction. It is worthy of clinical application.