临床路径联合监测降钙素原在成人社区获得性肺炎中的运用研究

Application of the clinical pathway combined with monitoring procalcitonin in adults with community acquired pneumonia

目的探讨临床路径(CP)联合监测降钙素原(PCT)在成人社区获得性肺炎(CAP)中的运用价值。方法采用随机数字表法把100例成人CAP患者分为观察组和对照组,各50例。对照组采用CP治疗,观察组采用CP联合监测PCT治疗。统计比较两组的疗效、主要症状体征消失时间、抗生素使用指标、主要住院费用、住院时间和满意度。结果观察组的疗效明显好于对照组(P<0.05)。观察组主要症状体征消失所需要的时间、使用抗生素比例、抗生素疗程和抗生素费用等均明显少于对照组(P<0.05)。观察组的药费和总住院费等明显低于对照组(P<0.05)。观察组的住院时间明显短于对照组(P<0.05)。观察组的患者、家属和医生满意度均明显高于对照组(P<0.05)。结论 CP联合监测PCT可提高成人CAP的疗效,同时可优化抗生素的使用,降低住院费用和提高满意度。

Objective To investigate the value of the clinical pathway(CP)combined with monitoring procalcitonin(PCT)in adults with community acquired pneumonia(CAP).Methods One hundred adult CAP patients were divided into the observation group and the control group by random number table method,with 50 cases in each group.Patients in the control group were treated with CP,while patients in the observation group were treated with CP combined with monitoring PCT.The efficacy,main symptoms and signs disappearance time,antibiotic usage index,main hospitalization expenses,hospitalization time and satisfaction were compared between the two groups.Results The curative effect of the observation group was better than that of the control group(P<0.05).The number of days needed to get the main symptoms and signs disappeared,the proportion of antibiotics used,the course of antibiotic treatment and the cost of antibiotics of the observation group were all significantly less than those in the control group(P<0.05,respectively).The drug cost and total hospitalization fee of the observation group were significantly lower than those in the control group(P<0.05,respectively).The time of hospitalization in the observation group was significantly shorter than that in the control group(P<0.05).The satisfaction of the patients,family and doctors in the observation group were significantly higher than those in the control group(P<0.05).Conclusions CP combined with PCT can improve the efficacy of CAP in adults,optimize the use of antibiotics,reduce the cost of hospitalization and improve the satisfaction of the patients,family and doctors.