中医临床路径在稳定型心绞痛诊疗中的应用研究

A pplication Research on the Stable Angina Pectoris Treated with the Clinical Pathway of Chinese Medicine

目的观察中医临床路径在冠心病稳定型心绞痛诊疗中的疗效及优势。方法 72例冠心病稳定型心绞痛患者随机分为路径组和非路径组各36例,观察医疗总费用、住院时间、心绞痛疗效、心电图疗效及西雅图心绞痛调查量表积分。结果路径组与非路径组相比,患者总住院费用及住院时间显著降低(P<0.05或P<0.01),心绞痛疗效提高,且路径组在心绞痛稳定状态、治疗满意度及疾病认识程度方面均优于非路径组(均P<0.05)。结论中医临床路径在冠心病稳定型心绞痛患者中的应用是有效的,可明显降低住院费用及住院时间,提高患者满意度。

Objective：To observe the curative effect and the advantages of the clinical pathway on the stable angina pectoris treated with traditional Chinese medicine.Methods：72 patients with the stable angina pectoris were randomized into 2 groups （36 patients in each group）：the clinical pathway group and the non-clinical pathway group.Indices were observed including the total medical costs,the length of hospital stay,the curative effect of the angina pectoris,the curative effect of the electrocardiogram and the SAQ scores.Results：In contract with the clinical pathway group and the non-clinical pathway group,the clinical pathway group can reduce the patients＇ total medical costs and the length of hospital stay significantly,and improve the curative effect of the angina pectoris.Furthermore,the clinical pathway group was better than the non-clinical pathway group at the eutexia of the stable angina pectoris,the satisfaction degree for the treatment and the cognition level of disease.Conclusion：The application on the clinical pathway of Chinese medicine has great effects in the stable angina pectoris of the coronary heart disease patients.It can make better clinical effects,reduce the total medical costs and the length of hospital stay significantly and improve the patients＇ degree of satisfaction,which is well worthy popularizing.