循证个体化在临床骨科的应用

Application of Evidence-based Individualized Therapy in Orthopedic Clinical

目的探讨循证个体化在临床骨科的应用。方法前瞻性自身对照设计,以新疆克拉玛依市人民医院骨科为实验基地,以2010年1月至2011年12月48例骨科住院患者及9名骨科年轻医生为实验对象,对患者进行循证治疗、讲课、沟通。结果医生对患者的病情认识提高很快(+100%),带给患者的治疗是最好的、最新的治疗(+100%);医生自我更新能力加强,自己的专业水平提高快(+100%);对这种治疗方式满意(+100%);课题结束时有7人学会,开始自己独立完成。患者住院费用平均下降6000元,节省了医疗费用,P<0.01,有统计学差异。结论循证个体化治疗方法提供患者最好的资料,减少了患者的支出,改善了医患关系,是提高临床治疗水平的最好方法。不仅对骨科的患者可实施,而且具有良好的、非常广泛的推广前景。

Objective Application of individualized evidence-based therapy to promote orthopedic clinical practice. Methods It was a clinical prospective self-controlled research based on orthopeadie department of Karamay City Peo-ple＇s Hospital. 48 orthopedic inpatients and 9 young orthopedic doctor were involved from Jan. 2010 to Dec. 2011,to provide evidence based treatment with patients and lectures to communicate. Results Doctor＇s understanding of pa-tient＇s condition was improved quickly （＋ 100%）,gave your patient the best treatment （＋100%）;self renewal ca pacity to increase their professional level （＋100%）, satisfied with this treatment （＋100% ）,seven doctors to start their own independent operations. Hospitalization costs fell by an average of 6000 yuan,P〈0.01. Conclusion It is the best way to provide patients with the best information,to reduce the cost of the patients ,to improve the doctor-patient relationship. It is the best way to improve the level of clinical treatment,and has a good and a very wide range promotion prospects.