膝骨性关节炎中西医结合保守治疗临床路径实施效果评价
本文关键词：膝骨性关节炎中西医结合保守治疗临床路径实施效果评价，，由笔耕文化传播整理发布。
膝骨性关节炎中西医结合保守治疗临床路径实施效果评价
膝骨性关节炎中西医结合保守治疗临床路径实施效果评价
研究背景骨关节炎(0A)是一种常见的关节炎,俗称“骨质增生”,又称为退行性关节炎、骨关节病、退行性关节病、增生性关节炎、肥大性关节炎、老年性关节炎等。特别是在中老年人当中见,女性比男性多发。此类病多属于中医的“痹”或“痿”的范畴。在国内几个流行病学调查中膝骨性关节炎(KOA)在0A总发病率中居第2或第3位。该病以膝关节疼痛、肿胀、活动受限和畸形为主要临床表现。临床路径是一全新的先进的临床服务模式,是针对特定的疾病制定的最适当的临床服务计划,具有规范诊疗行为、加速疾病康复、提高医疗护理质量和工作效率、缩短住院时间、节约医疗成本、减少住院费用、提高病人满意度等特点。而我们对采取标准中西医临床路径保守治疗膝骨性关节炎的实施效果进行探讨,目前国内此类研究甚少。研究目的通过已在临床执行的膝关节骨性关节炎中西医结合保守治疗临床路径进行总结、浅析浅析、研究,利用先进的统计学工具进行评估,对实施临床路径与未实施临床路径组的住院总费用、住院时间及临床疗效进行对比,以确定临床路径在膝骨性关节炎的保守治疗中的优势及可行性。研究策略按纳入与排除标准,选取2006年1月至2011年2月广东省中医院珠海医院骨一科住院患者200例,将严格按照膝骨性关节炎中西医结合保守治疗临床路径的患者列为临床路径组(111例),未实施临床路径的列为非临床路径组(89例),进行回顾性浅析浅析,比较两组之间住院总费用、住院时间、临床疗效,建立SPSS数据库,所有调查数据输入数据库,应用SPSS数据库建立数据查询,导入SPSS17.0统计软件进行数据的统计浅析浅析。结果1.共纳入病例200例,临床路径组111例,非临床路径组89例,其中男性占22.5%,女性占77.5%,膝骨性关节炎患者中女性明显多于男性。2.实施临床路径组及非临床路径组两组患者性别情况比较,经统计学处理,P>0.05,无显著性差异,有可比性。患者年龄情况比较,经统计学处理,P>0.05,无显著性差异,有可比性。3.实施临床路径组及非临床路径组患者平均住院总费用情况比较,经统计学处理,P<0.05,有显著性差异,临床路径组优于非临床路径组。两组患者住院时间比较,经统计学处理,P<0.05,有显著性差异,临床路径组优于非临床路径组。两组患者临床疗效比较,经统计学处理,P<0.05,有显著性差异,临床路径组优于非临床路径组。结论临床路径组住院总费用及住院时间明显比非临床路径组减少,临床路径组的临床疗效优于非临床路径组。
【Abstract】 BackgroundOsteoarthritis (OA) is a common form of arthritis, commonly known as "hyperostosis", also known as degenerative arthritis, osteoarthritis, degenerative joint disease, hypertrophic arthritis, hypertrophic arthritis, senile Arthritis. Particularly among the more common in the elderly, more women than men. Such diseases are mostly Chinese medicine, "Bi " or "atrophy"category. Several epidemiological survey in the country of knee osteoarthritis (KOA) in the overall incidence of OA ranked No.2 or No.3. Disease with knee pain, swelling, limited mobility and deformity as the main clinical manifestations. Clinical pathway is a new advanced clinical services model is developed for specific diseases, the most appropriate clinical services plan, conduct clinics with a standardized, accelerated recovery from disease and improve health care quality and efficiency, shorten hospital stays, reduce medical care Costs, reduce hospital costs, improve patient satisfaction and so on. And we study on the clinical path to the standard conservative treatment of osteoarthritis of the effects of the implementation. At present, few such studies.ObjectiveHas been performed by clinical knee osteoarthritis in the conservative clinical pathway Integrative summary, analysis, research, using advanced statistical tools to assess, comparing the total cost of hospitalization, hospitalization Time and clinical efficacy of Clinical pathway group and Non-clinical pathway group, to determine the clinical path of knee osteoar-thritis in the conservative treatment of the advantages and feasibility.Methods By inclusion and exclusion criteria, select from January 2006 to February 2011 Zhuhai, Guangdong Provincial Hospital inpatient hospital Orthopedics No.1200 patients, will be in strict accordance with knee osteoarthritis clinical conservative treatment of Integrative Medicine as a clinical path of patients Path group (111 cases), not the implementation of clinical pathways as a non-clinical pathway group (89 cases) were retrospectively analyzed and compared the total cost of hospitalization between the two groups, length of stay, clinical efficacy, establishment of SPSS database, all survey data Entered into the database, application SPSS data query databases, statistical software for data import SPSS17.0 statistical analysis.Results1. There are a total of 200 cases of patients, including 111 cases of the clinical pathway group, and 89 cases of non-clinical pathway group,22.5% were male, women accounted for 77.5%. Patients with knee osteoarthritis sign-ificantly more than men, women.2. Implementation of the clinical pathway group and non-clinical pathway group patients were compared to the situation of gender, the statistical analysis, P> 0.05, no significant differences, there are comparable. Age compared to the situation, the statistical analysis, P> 0.05, no significant differences, comparable.3. Implementation of the clinical pathway group and non-clinical pathway group mean that the total cost of hospitalization were compared, the statistical analysis, P<0.05, there is a significant difference, clinical pathway group is better than the non-clinical pathway group. Hospital stay compared two groups of patients, the statistical analysis, P<0.05, there is a significant difference, clinical pathway group is better than the non-clinical pathway group. Clinical effects of two groups, the statistical analysis, P<0.05, there is a significant difference, Clinical effects of clinical pathway group is better than the non-clinical pathway group.ConclusionClinical pathway group’hospital stay and the total cost of hospital-ization was significantly less than non-clinical pathway group, the efficacy of clinical pathway group than non-clinical pathway group.
【关键词】 膝骨性关节炎； 临床路径； 住院时间； 住院总费用； 临床疗效；【Key words】 Knee osteoarthritis； clinical pathway； hospital stay； the total cost of hospitalization； clinical efficacy；
更多论文推荐: 各专业论文 海量论文下载
本文关键词：膝骨性关节炎中西医结合保守治疗临床路径实施效果评价，由笔耕文化传播整理发布。
本文编号：173677
本文链接：https://www.wllwen.com/yixuelunwen/zhxiyjh/173677.html
