Hospitalized Patients With Cor Pulmonale With Acute Episodes Of TCM Clinical Pathway Implementation

Objective:Analysis patients who suffered heart disease from lung disorders in hospital time > 14 days and 28 days and 14 days or less or less hospitalization between the two groups related to treatment, symptom improvement and related cost. By comparing the differences between different hospitalization days, save medical expense, optimization of treatment procedures and shorten the hospitalization days.Methods:This topic selection of cor pulmonale(April 2014- December 2014) into the path of group of 64 patients, the path of Chinese and western medicine treatment. Into the path of 64 cases of patients with no variation for general situation, efficacy evaluation scale scores, relevant treatment and the total cost, TCM syndrome type specific factors such as statistical comparison analysis; Found that after the implementation of clinical pathway in our cor pulmonale with acute episodes of hospital stay > 14 days and 28 days and 14 days or less or less of two groups of hospitalized patients(April 2014- December 2014) based state the specific treatment and hospitalization of differences.Results:This topic will be hospitalized patients with acute phase according to the length of hospital stay was divided into the length of time > 14 days and 28 days and 14 days or less or less in the two groups. Two groups of patients in the general situation on admission to hospital, no obvious difference in comparison. Two groups of patients on admission curative effect evaluation rating scale, after statistical analysis found that the differences between two groups of patients(P < 0.05), two groups of patients in the hospital when there is no difference on curative effect evaluation rating scale(P > 0.05); Differences between two groups of patients related to hospitalization expenses, with meaning of juice; Two groups of patients with no difference between the TCM syndrome type distribution; No obvious difference was found between the use of antibiotics; Glucocorticoids dose bronchiectasis doses without obvious difference; Two groups of patients live each treatment differences, with meaning of juice; During the school with no obvious difference was found between antibiotic use cost; Average daily cost compare differences, with meaning of juice.Conclusion: 1 life to cultivate, most patients who suffered heart disease from lung disorders caused acute attacks, downplay, have not admitted to hospital in time. Delay condition, actuating fu evil, make the condition worse. Seriously affect the quality of life, only their own oral drugs or see a doctor. Procrastination leads to illness, cardiorespiratory reserves to reduce and make the patient basic situation deteriorated, so obviously prolong hospitalization time, length of hospital stay there will be even greater than the set standard time. 2 length of hospital stay in hospital time 14 days, 28 days or less group of patients with old age, but without statistical significance. Score higher on admission, TCM syndrome compared with the length of hospital stay 14 days or less qi deficiency group of patients with blood stasis type. Patients with longer duration of hospitalization and the clinical course of patients with no obvious connection. 3 Since the implementation of clinical pathway in the hospital longer basically has the following several reasons: 1) in the hospital during severe burn, cardiopulmonary function drops rapidly. 2) the frequent use of antibiotics, the infection is difficult to control. 3) some patients condition is complex, infected site is not easy to remove.