本文關(guān)鍵詞：膝骨性關(guān)節(jié)炎中西醫(yī)結(jié)合保守治療臨床路徑實(shí)施效果評(píng)價(jià)，，由筆耕文化傳播整理發(fā)布。

膝骨性關(guān)節(jié)炎中西醫(yī)結(jié)合保守治療臨床路徑實(shí)施效果評(píng)價(jià)

膝骨性關(guān)節(jié)炎中西醫(yī)結(jié)合保守治療臨床路徑實(shí)施效果評(píng)價(jià)

研究背景骨關(guān)節(jié)炎(0A)是一種常見的關(guān)節(jié)炎,俗稱“骨質(zhì)增生”,又稱為退行性關(guān)節(jié)炎、骨關(guān)節(jié)病、退行性關(guān)節(jié)病、增生性關(guān)節(jié)炎、肥大性關(guān)節(jié)炎、老年性關(guān)節(jié)炎等。特別是在中老年人當(dāng)中見,女性比男性多發(fā)。此類病多屬于中醫(yī)的“痹”或“痿”的范疇。在國內(nèi)幾個(gè)流行病學(xué)調(diào)查中膝骨性關(guān)節(jié)炎(KOA)在0A總發(fā)病率中居第2或第3位。該病以膝關(guān)節(jié)疼痛、腫脹、活動(dòng)受限和畸形為主要臨床表現(xiàn)。臨床路徑是一全新的先進(jìn)的臨床服務(wù)模式,是針對(duì)特定的疾病制定的最適當(dāng)?shù)呐R床服務(wù)計(jì)劃,具有規(guī)范診療行為、加速疾病康復(fù)、提高醫(yī)療護(hù)理質(zhì)量和工作效率、縮短住院時(shí)間、節(jié)約醫(yī)療成本、減少住院費(fèi)用、提高病人滿意度等特點(diǎn)。而我們對(duì)采取標(biāo)準(zhǔn)中西醫(yī)臨床路徑保守治療膝骨性關(guān)節(jié)炎的實(shí)施效果進(jìn)行探討,目前國內(nèi)此類研究甚少。研究目的通過已在臨床執(zhí)行的膝關(guān)節(jié)骨性關(guān)節(jié)炎中西醫(yī)結(jié)合保守治療臨床路徑進(jìn)行總結(jié)、淺析淺析、研究,利用先進(jìn)的統(tǒng)計(jì)學(xué)工具進(jìn)行評(píng)估,對(duì)實(shí)施臨床路徑與未實(shí)施臨床路徑組的住院總費(fèi)用、住院時(shí)間及臨床療效進(jìn)行對(duì)比,以確定臨床路徑在膝骨性關(guān)節(jié)炎的保守治療中的優(yōu)勢(shì)及可行性。研究策略按納入與排除標(biāo)準(zhǔn),選取2006年1月至2011年2月廣東省中醫(yī)院珠海醫(yī)院骨一科住院患者200例,將嚴(yán)格按照膝骨性關(guān)節(jié)炎中西醫(yī)結(jié)合保守治療臨床路徑的患者列為臨床路徑組(111例),未實(shí)施臨床路徑的列為非臨床路徑組(89例),進(jìn)行回顧性淺析淺析,比較兩組之間住院總費(fèi)用、住院時(shí)間、臨床療效,建立SPSS數(shù)據(jù)庫,所有調(diào)查數(shù)據(jù)輸入數(shù)據(jù)庫,應(yīng)用SPSS數(shù)據(jù)庫建立數(shù)據(jù)查詢,導(dǎo)入SPSS17.0統(tǒng)計(jì)軟件進(jìn)行數(shù)據(jù)的統(tǒng)計(jì)淺析淺析。結(jié)果1.共納入病例200例,臨床路徑組111例,非臨床路徑組89例,其中男性占22.5%,女性占77.5%,膝骨性關(guān)節(jié)炎患者中女性明顯多于男性。2.實(shí)施臨床路徑組及非臨床路徑組兩組患者性別情況比較,經(jīng)統(tǒng)計(jì)學(xué)處理,P>0.05,無顯著性差異,有可比性�；颊吣挲g情況比較,經(jīng)統(tǒng)計(jì)學(xué)處理,P>0.05,無顯著性差異,有可比性。3.實(shí)施臨床路徑組及非臨床路徑組患者平均住院總費(fèi)用情況比較,經(jīng)統(tǒng)計(jì)學(xué)處理,P<0.05,有顯著性差異,臨床路徑組優(yōu)于非臨床路徑組。兩組患者住院時(shí)間比較,經(jīng)統(tǒng)計(jì)學(xué)處理,P<0.05,有顯著性差異,臨床路徑組優(yōu)于非臨床路徑組。兩組患者臨床療效比較,經(jīng)統(tǒng)計(jì)學(xué)處理,P<0.05,有顯著性差異,臨床路徑組優(yōu)于非臨床路徑組。結(jié)論臨床路徑組住院總費(fèi)用及住院時(shí)間明顯比非臨床路徑組減少,臨床路徑組的臨床療效優(yōu)于非臨床路徑組。

【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.

【關(guān)鍵詞】 膝骨性關(guān)節(jié)炎； 臨床路徑； 住院時(shí)間； 住院總費(fèi)用； 臨床療效；
【Key words】 Knee osteoarthritis； clinical pathway； hospital stay； the total cost of hospitalization； clinical efficacy；

更多論文推薦: 各專業(yè)論文 海量論文下載

上一篇文章： 交流牽引系統(tǒng)若干理由的探討

下一篇文章： 烏魯木齊都市圈區(qū)域經(jīng)濟(jì)差異與協(xié)調(diào)發(fā)展探討

  本文關(guān)鍵詞：膝骨性關(guān)節(jié)炎中西醫(yī)結(jié)合保守治療臨床路徑實(shí)施效果評(píng)價(jià)，由筆耕文化傳播整理發(fā)布。

本文編號(hào)：173677