脑梗死恢复期气虚血瘀证患者中医临床路径评价与思考

Evaluation and thinking of the TCM clinical path of the cerebral infarction convalescence patients with qi-deficiency and blood-stasis syndrome

目的评价中医综合医院神经内科病房脑梗死恢复期气虚血瘀证患者的中医临床路径。方法采用国家中医药管理局医政司2010年颁布的《22个专业95个病种中医临床路径》中风的临床路径治疗30例脑梗死恢复期气虚血瘀证患者(简称路径组),对比2010年同期30例脑梗死恢复期气虚血瘀证患者的疗效与费用(简称传统组)。结果路径组在NIHSS量表分、生活能力、疗效以及除治疗费与检查费以外的全部费用均优于传统组(P<0.05,或P<0.01)。结论脑梗死恢复期气虚血瘀证临床路径的疗效满意,可合理利用医疗资源,减轻患者的经济负担。

Objective To evaluate the TCM clinical path of cerebral infarction convalescence patients with qi-deficiency and blood-stasis syndrome in Department of Neurology ward of the general hospital.Method Compared with 30 cases of cerebral infarction convalescent patients with qi-deficiency and blood-stasis syndrome（referred to as the traditional group）in 2010,32 cases of cerebral infarction convalescent patients with qi-deficiency and blood-stasis syndrome（referred to as the path group）were treated using the TCM clinical path of stroke from＂the TCM clinical pathway of the 22 professions and 95 kinds of diseases＂ which was issued in 2010 by Medical Administrative Department of the State Administration of Traditional Chinese Medicine to observe the difference of efficacy and costs between the two years.Result The path group was better than the traditional group in the NIHSS scale,life skills,efficacy as well as all the cost except the costs of treatment and inspection（P0.05,or P0.01）.Conclusion The clinical path of cerebral infarction convalescence with qi-deficiency and blood-stasis syndrome is satisfactory in efficacy,can use health care resources rationally and reduce the economic burden of patients.