文献类型：期刊文献

中文题名：临床路径管理对脑卒中患者预后的影响

英文题名：Effect of Clinical Pathway Management on Prognosis of Patients with Acute Ischemic Stroke

作者：付琳琳[1];王永红[1];张宏卫[1];陶晓红[1]

机构：[1]绍兴文理学院附属医院

年份：2016

卷号：0

期号：4

起止页码：42

中文期刊名：医院管理论坛

外文期刊名：Hospital Management Forum

语种：中文

中文关键词：急性缺血性脑卒中;TOAST分型;神经功能缺损;临床路径

外文关键词：Acute ischemic stroke;TOAST type;Neurological impairment;Clinical pathway

中文摘要：目的探讨临床路径管理对不同TOAST类型急性缺血性脑卒中患者预后的影响。方法将70例急性缺血性脑卒中患者随机分为两组,每组35例,对照组采用传统的急性缺血性脑卒中管理办法,观察组患者采用临床路径管理方法,比较两组患者临床指标及治疗后神经功能缺损程度。结果本研究急性缺血性脑卒中患者TOAST分型中以大动脉粥样硬化性卒中(LAA)及小动脉闭塞性卒中或腔隙性卒中(SAA)多发;观察组患者住院天数、住院费用均明显少于对照组,差异有统计学意义(P<0.05)。观察组患者LAA型、SAA型及其他分型急性缺血性脑卒中患者NIHSS评分均明显低于对照组,差异有统计学意义(P<0.05)。结论不同TOAST类型急性缺血性脑卒中进行临床路径管理可有效缩短患者的住院时间、降低住院费用,并且可以提高治疗效果。

外文摘要：Objective To investigate the effects of clinical pathway management on the prognosis of patients with acute ischemic stroke of different TOAST types. Methods 70 cases of patients with acute ischemic stroke were randomly divided into two groups with 35 cases in each group. The control group was treated with traditional acute ischemic stroke management while the observation group was treated with clinical pathway management. Compared the clinical indicators and neurological impairment degree after treatment between two groups. Results In this study, large artery atherosclerotic stroke （LAA） and small artery occlusion lacunar or lacunar stroke （SAA） toast were the most common TOAST types. The hospital stay and hospitalization cost of the observation group were significantly lower than those of the control group with significant difference （P〈0.05）. The NIHSS scores of patients with LAA, SAA type and other type of acute ischemic stroke in observation group were significantly lower than those in the control group with significant difference （P〈0.05）. Conclusion Clinical pathway management on acute ischemic stroke of different TOAST types can effectively shorten patients＂ hospitalization stay, reduce hospitalization cost and improve the treatment outcome.