摘要
目的探讨急救绿色通道临床路径在颅脑损伤救治中的实施效果。方法将我院2011年3月至2012年6月间应用急救绿色通道临床路径救治的颅脑损伤患者128例作为研究组,并将同期未经过急救绿色通道临床路径救治的颅脑损伤患者154例作为对照组,比较两组急救处理时间、医院处理时间、抢救效果、住院时间、医疗费用及患者满意度等。结果①研究组急救处理时间为(10.4±2.3)min,医院处理时间为(3.1±0.5)min;对照组急救处理时间为(18.5±2.1)min,医院处理时间为(14.5±5.2)min,研究组急救处理时间、医院处理时间明显少于对照组(P<0.01)。②研究组死亡16例,伤残52例,植物人12例,恢复48例,对照组死亡29例,伤残82例,植物人16例,恢复27例,数据间差异有统计学意义(P<0.05)。③研究组平均住院时间为(61.2±8.5)d,医疗费用(7 131.2±232.4)元,治疗质量满意度为96.9%;平均住院时间为(84.7±3.5)d,医疗费用(8 928.5±426.2)元,治疗质量满意度为85.7%,数据间差异有统计学意义(P<0.05)。结论在颅脑损伤救治中应用急救绿色通道临床路径可以缩短救治时间和住院之间,提高救治成功率,降低医疗费用,值得临床推广应用。
Objective To investigate the effect of the first aid green passage clinical pathway in the treatment of traumatic brain injury. Methods 128 cases of traumatic brain injury patients between March 2011 and June 2012 in our hospital used first aid green passage clinical pathway as research group,and 154 patients not using clinical pathway for medical treatment were defined as the control group. The hospital treatment time, the rescue effect, duration of hospitalization, medical costs and patient satisfaction were used for comparison. Results （1） In Study Group first aid treatment time was（10. 4 ± 2. 3） min, hospital treatment time was（3. 1 ± 0. 5）min; first aid treatment for the control group was（18.5 ±2.1）min,hospital treatment time was（14.5 ± 5.2）min. The time of the study group using first aid,hospital treatment time was significantly less than the control group（P〈0.01）. （2） In the study group, 16 cases died, 52 cases disabled,, 12 cases became vegetative, and 48 cases recoved, while in the control group,29 cases died, ,82 cases disabled, 16 cases became vegetative state, and 27 cases restored. There was significant difference between the two groups （P〈 0. 0 5 ）. （3） The average hospital stay of research group was （61.2±8.5）d,medical expenses was（7 131.2 ± 232.4）yuan, the quality of treatment satisfaction was 96.9 %; average hospital stay of the control group was（84.7 ± 3.5）d,medical expenses was（8 928.5 ±426.2）The quality of treatment satisfaction was 85.7%. The difference was statistically significant（P〈0.05）. Conclusions the first aid green passage clinical pathway of traumatic brain injury can shorten treatment time and hospital stay, and improve the treatment success rate, reduce medical costs.
出处
《成都医学院学报》
CAS
2012年第4期627-629,共3页
Journal of Chengdu Medical College
关键词
绿色通道
颅脑损伤
临床路径
green channel
brain injury
clinical pathway
