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Application Exploration Air Temperature Hyperactivity Traditional Chinese Medicine Clinical Pathway

Posted on:2015-10-04Degree:MasterType:Thesis
Country:ChinaCandidate:J J ZhaoFull Text:PDF
GTID:2284330431980745Subject:Internal medicine of traditional Chinese medicine
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ObjectiveCommunity acquired pneumonia refers to pneumonia acquired outside the hospital. Epidemiology has its high incidence and high mortality characteristics. According to statistics, In American every year2million~3million cases of community-acquired pneumonia happen. In our country there are millions of people each year suffer from community-acquired pneumonia and the incidence of the disease is0.2~1.2%. According to reports, the U.S. community-acquired pneumonia is the sixth leading cause of death, mortality rate of about0.47%~6.22%.China reported mortality caused by community-acquired pneumonia was34.2%. In addition, community-acquired pneumonia in economics with a high number of days of hospitalization, the characteristics of the high costs. In the United States, the average hospital stay of5to y days, the average hospital costs$7500.while in other countries such as Canada, the annual cost of treatment for Community acquired pneumonia to reach$1million (of which90%came from hospitalized patients).The average length of stay of Community acquired pneumonia in our country12to16days, the average cost of hospitalization is6700-11000yuan. Therefore, we need to make efforts to explore the best treatment or medication to shorten the length of stay, improve efficacy and reduce hospital costs. Develop standardized clinical pathways is the best way to achieve this goal.This article will explore the scope is limited to the type-of non-severe community acquired pneumonia. Community-acquired pneumonia should belong to the traditional Chinese medicine," the air temperature Hyperactivity disease" category. Therefore, This paper discusses the use of statistical methods evaluate air temperature Hyperactivity Traditional Chinese Medicine clinical pathway for the total effect of disease, symptoms of cough efficacy and symptom scores before and after treatment, white blood cell count, pulmonary rales integration, medical expenses, treatment for several days, the service impact satisfaction. With blood, chest X-ray for the objective assessment indicators, temperature and Hyperactivity Clinical efficacy of air temperature path Hyperactivity disease by observing the wind, Preliminary assessment of the implementation of the application of the air temperature Hyperactivity Traditional Chinese Medicine clinical pathway, the implementation effects, clinical effectiveness, Chinese medicine used in the treatment of clinical pathways provide a reliable air temperature Hyperactivity disease clinical basis to regulate the behavior of health care clinics, and Control the average length of stay of patients and medical costs, improve medical services and patient satisfaction.MethodsThe54patients met the inclusion criteria in accordance with the principle of simple random grouping paths into groups and traditional groups. Path group treated according to various types of treatment programs developed in our hospital; traditional treatment group based on the doctor’s experience. Two groups of patients evaluated symptoms, signs, laboratory examinations differences. The average number of days of hospitalization were observed, the total cost of hospitalization cases, hospital fees and patient satisfaction.ResultsThe results of this study shows that through the implementation of the clinical pathway intervention, the total effect of the disease has reached100%efficiency, no significant difference in the control group;symptoms efficacy of up to100%better than the traditional group of symptoms hospitalization expenses path group was7771.1±575.2million, significantly lower than the traditional group; The number of days in hospital clinical pathway group was9.3±1.4Day and less than the traditional group, and Achieve clinical path length of hospital stay is less than or equal to10days required; Path group of proprietary Chinese medicine fees, inspection fees, significantly lower than the traditional group. Path group satisfaction for97.6±2.1%. Path group therapy commonly used in traditional Chinese medicine characteristics (point application, infrared radiation, Traditional Chinese Medicine retention enema).ConelusionInto the path of the54patients in all traditional Chinese medicine syndrome differentiation,. The use of traditional Chinese medicine injections, medicine decoction medicine outside the rule-based, With basic medical treatment and refer to reference in October2006Chinese Society of Respiratory Diseases Respiratory Diseases credits will be issued a" community-acquired pneumonia diagnosis and treatment guidelines," the choice of antibiotic therapy, After entering the path without variation, better efficacy, lower costs, better patient satisfaction, the path specification, operational. Chinese medicine hospital clinical pathways can develop a good therapeutic air temperature Hyperactivity disease, embodies the characteristics and efficacy of traditional Chinese medicine.
Keywords/Search Tags:Traditional Chinese medicine clinical pathway, air temperatureHyperactivity disease, Chinese medicine, chest X-ray
PDF Full Text Request
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