临床路径在基层医院RVD患儿中的应用及临床评价

APPLICATION AND CLINICAL ASSESSMENT OF CLINICAL PATHWAY IN INFANT ROTAVIRUS ENTERITIS IN PRIMARY HOSPITAL

目的:探讨在基层医院对轮状病毒肠炎(RVD)患儿实施临床路径管理的可行性及临床意义。方法:采用回顾性调查分析的方法,传统治疗组RVD患儿采用传统的治疗、护理方式,临床路径组实施临床路径管理。观察记录两组患儿家长的满意度、抗菌素使用率、平均住院时间和住院费用。结果:与传统治疗组比较,临床路径管理可明显提高患儿家长的满意度,降低抗菌素使用率,缩短住院时间和降低住院费用,组间比较差异具有统计学意义(P<0.01)。结论:基层医院对RVD实施临床路径管理切实可行,既节约了医疗资源,又带来了社会效益,值得推广。

Objective：To investigate the feasibility and clinical significance of implementation of clinical pathway management in infant rotavims enteritis （RVD） in primary hospital.Methods：The clinical data of traditional treatment groupand clinical pathway group were retrostpectively analyzed by recording the parents＇ satisfaction, antibiotics usage, averagehospital stays and hospital fees.Results：Clinical pathway management could obviously increase the parents＇ satisfaction;reduce antibiotics usage, average hospital stays and hospital fees. There had statistical significance between traditional treatment group and clinical pathway group （P〈 0.01 ）. Conclusions： Implementation of clinical pathway management in infant RVD in primary hospital is feasible, which not only can save medical resources but also can bring social benefits.