以实验考量肺结核患者分级诊疗的优势

Advantages of Introducing Tuberculosis Patients to Hierarchical Diagnosis and Treatment

目的:探讨肺结核患者进行分级诊疗的优势及必要性。方法:本院于2015年1月对肺结核患者开展了分级诊疗,选取本院未开展肺结核分级诊疗的2014年与其对比,比较患者的治愈率、临床床位的流转率、患者满意度等,予以综合分析及评价。结果:分级诊疗的观察组共接诊413例,治愈187例,治愈率为45.28%,明显高于对照组的34.46%;床位流转率得到明显提高,观察组为805.88%,明显高于对照组的438.78%(P<0.05);分级诊疗后,观察组患者的满意度比对照组有显著提升,观察组为98.79%,明显高于对照组的91.38%(P<0.05)。结论:通过分级诊疗,有助于提高患者的治愈率和床位流转率,增加患者的满意度。在临床诊疗中对不同病情的肺结核患者进行分级、分流诊疗,可以对患者用药的合理性、持续性、规范性进行适当安置,分级诊疗适用于长期治疗的慢性结核病的管理,其优势明显,必要性强。

To discuss the necessity and advantages of hierarchical diagnosis and treatment for tuberculosis patients. Methods: From January 2015, our hospital started grading treatment for pulmonary tuberculosis patients. Before and after that (in 2014 and 2015), cases were collected and compared for curerate, clinical bed turnover rate, patient satisfaction and recurrence rate. Results: After grading diagnosisand treatment, 413 were treated with 187 cured, the cure rate (45.28%) was significantly higher than thatof before (34.46%); Hospital beds turnover rate was improved obviously (805.88% vs 438.78, P<0.05); Patients' satisfaction rate increased significantly (98.79% vs 91.38%, P<0.05). Conclusion: Hierarchical diagnosis and treatment of pulmonary tuberculosis is helpful to improve cure rate, bed turnover rate and patients' satisfaction. Its clinical application in patients at different stage can pay appropriate attention to medication for rationality, sustainability and normativeness, it is suitable for the management of long-term treatment of chronic diseases with obvious advantages and strong necessity.