慢性心力衰竭中医临床路径研究

Study on TCM Clinical Pathway of Chronic Heart Failure

目的进一步优化慢性心力衰竭中医诊疗规范,探索在卫生体制改革中适应医疗付费模式转变,避免浪费有限的医疗资料。方法对慢性心力衰竭住院患者实施中医临床路径的管理,评估慢性心力衰竭患者实施中医临床路径后对医疗效率指标、医疗费用指标、医疗质量指标的影响。结果两组比较平均住院天数、西药费、中草药费、检查费、临床疗效均有显著差异。结论实施慢性心力衰竭中医临床路径,不仅能明显缩短住院天数,降低住院费用,保证医疗质量,还增加了中草药参与率,促进中医药特色的发挥。

Objective To further optimize TCM norms on chronic heart failure,to provide a practical basis for the treatment of chronic heart failure,in order to explore the reform of health system to adapt to changes in the pattern of medical care,and to avoid wasting limited medical information. Method The standard management for clinical pathways base on TCM was carried out,to assess the effectiveness of clinical pathway for patients with chronic heart failure（ CHF）,including medical efficiency,expenses and quality,as well as the partition of traditional Chinese medicine,and to optimize the process of diagnosis and treatment of TCM for patients of CHF,give suggestions for the reform of health system in the medical treatment pay model. Furthermore,hope to reduce the waste of the limited medical resources. Result Two groups in the average hospital days,Western medicine cost,Chinese herbal medicine fees,inspection fees and clinical effect were significantly different. Conclusions Implementation of TCM clinical pathway in patients with CHF could significantly shorten the hospitalization time,decreased the cost of hospitalization,ensured the medical quality,and enhanced patient satisfaction.