金黄色葡萄球菌性烫伤样皮肤综合征的临床路径分析

Clinical Pathway Analysis of Staphylococcal Scald-like Skin Syndrome

目的观察金黄色葡萄球菌性烫伤样皮肤综合征的临床治疗,分析临床路径,为此病的临床治疗研究提供基础。方法采用随机数字表法抽取本院2015年1月~2018年3月皮肤科实施临床路径前后400例患者的患者作为研究对象,收集患者的一般资料(性别、年龄、辨证分型)、实施临床路径前后效应资料(住院时间、费用、资源使用)和临床疗效。采用统计学软件SPSS 20.0进行数据分析。结果观察组患者与对照组患者在性别、年龄、辨证分型等一般基线资料方面比较差异无统计学意义,本研究结果具有可比性。观察组患者平均住院时间为(5.7±2.5)d,显著短于对照组(12.4±3.72)d(P<0.05);观察组患者西医治疗占25.00%显著低于对照组单纯西医治疗68.00%(P<0.05);观察组患者平均总住院费用为(3 354.45±256.98)元显著低于对照组平均总住院费用(6 651.45±365.44)元(P<0.05)。观察组患者治疗总有效率为98.5%显著高于对照组82.0%,患者满意度观察组为96.0%显著高于对照组66.0%,组间差异均有统计学意义(P<0.05)。结论金黄色葡萄球菌性烫伤样皮肤综合征患者实施临床路径可显著降低患者住院时间,缩短治疗疗程,降低住院费用,提高患者就医满意度,对规范金黄色葡萄球菌烫伤样皮肤综合征的治疗和住院流程,提高临床疗效,优化皮肤科诊疗服务质量具有重要意义。

Objective To observe the clinical treatment of staphylococcal scalded skin syndrome of Staphylococcus aureus, analyze the clinical path, and provide the basis for clinical treatment of this disease. Methods A random number table method was used to select 400 patients from Janu-ary 2015 to March 2018 in the Department of Dermatology before and after the implementation of the clinical route as the study subjects. The general data（sex, age, syndrome differentiation） and clinical practice of the patients were collected. Path effect data（hospital time, cost, resource usage）and clinical efficacy. Statistical analysis software SPSS 20.0 was used for data analysis. Results There was no significant difference between the observation group and the control group in terms of general baseline data such as sex, age, and syndrome differentiation. The results of this study were comparable. The average length of stay in the observation group was（5.7±2.5） days, which was significantly shorter than that in the control group（12.4±3.72） days（P0.05）; Western medicine treatment in the observation group accounted for 25.00%, which was significantly lower than that of the control group, which was 68.00%（P0.05）; the average total cost of hospitalization in the observation group was（3 354.45±256.98） significantly lower than the average total hospital cost of the control group（6 651.45±365.44）yuan（P0.05）. The total effective rate of observation in the observation group was 98.5%, which was significantly higher than that of the control group, 82.0%. The satisfaction rate of the observation group was96.0%, which was significantly higher than that of the control group 66.0%. The difference between the groups was（P0.05）. Conclusion The implementation of clinical pathway in patients with Staphylococcus aureus-like scalded skin syndrome can significantly reduce the length of hospital stay, shorten the duration of treatment, reduce hospitalization costs, improve patient satisfaction, and regulate the treatment of Staphylococcus aureus scalded skin syndrome. Hospitalization process, improve clinical efficacy, and optimize the quality of dermatological diagnosis and treatment services are of great significance.