手足口病Ⅰ期临床路径实施效果评价

Implementation Effect of Clinical Pathway for Treating Hand-Foot-Mouth Disease Phase Ⅰ

目的:评价手足口病Ⅰ期临床路径的实施效果。方法:将2011年6月至2013年6月我院内儿科收治的450例手足口病Ⅰ期住院患者随机分为观察组和对照组,每组各225例。观察组按照标准化的临床路径实施诊疗,对照组实施传统诊疗。记录2组患者的住院时间、住院费用。结果:对手足口病Ⅰ期病种实施临床路径管理后,观察组的平均住院日、平均住院费、日平均费用、平均西药费、平均检查费均低于对照组(P<0.01)。结论:手足口病Ⅰ期治疗中实施临床路径能有效降低患者的住院时间、医疗费用,减少医疗资源的消耗。

Objective:To evaluate the implementation effect of clinical pathway for trearing hand -foot-mouth disease phase Ⅰ.Methods:450 cases of hand -foot-mouth disease phase Ⅰ in the period of June 2011 to June 2013 in our department were randomly divided into observation group and control group with 225 cases in each group;The observation group was implemented by treatment of standard clinical pathway while the control group by traditional treatment .The hospitalization expenses and hospitalization time of the two groups were recorded and analysed .Results:After clinical pathway management was implemented to treat foot and mouth disease phase Ⅰ, the average hospitalization time ,average hospitalization expenses ,average daily cost,average medicine charge and the average check fees in the observation group were lower than that in the control group , there was a statistically significant difference ( P <0.01 ) .Conclusion:The standard clinical pathway can reduce hospitalization time and expenses of hand -foot-mouth disease in phase Ⅰ, reduce the consumption of medical resources .