小儿支气管肺炎中西医结合临床路径实施研究

Application of clinical pathway of integrated traditional Chinese and western medicine in treatment of children with bronchopneumonia

  • 摘要: 目的 观察中西医结合临床路径对小儿支气管肺炎的治疗效果。 方法 选取本院救治的支气管肺炎患儿98例,随机分为对照组49例,实施常规临床管理;观察组49例,实施中西医结合路径管理。比较2组患儿临床疗效、住院时间及住院总费用、中医治疗方法应用率、抗生素使用情况、临床症状改善情况。 结果 观察组治疗总有效率高于对照组(P<0.05); 观察组住院时间与住院总费用显著低于对照组(P<0.05); 观察组中医治疗方法应用率高于对照组(P<0.05); 观察组抗生素总使用率显著低于对照组(P<0.05); 观察组临床症状积分显著低于对照组(P<0.05)。 结论 中西医结合临床路径在小儿支气管肺炎中的实施效果较好,可显著提高临床疗效,改善临床症状,减少抗生素的使用。

     

    Abstract: Objective To observe the effect of clinical pathway of integrated traditional Chinese and western medicine in treatment of children with bronchopneumonia. Methods A total of 98 children with bronchopneumonia were selected and randomly divided into control group and observation group, with 49 cases in each group. The control group was given routine clinical management, while the observation group was given clinical pathway management of integrated traditional Chinese and western medicine. The clinical efficacy, hospital stay and total hospitalization expenses, application rate of traditional Chinese medicine treatments, application rate of antibiotics and improvement condition of clinical symptoms were compared between the two groups. Results The total effective rate and application rate of traditional Chinese medicine treatments in the observation group were significantly higher than those in the control group(P<0.05), while the hospital stay and total hospitalization cost, the application rate of antibiotics and score of clinical symptoms were significantly lower than those in the control group(P<0.05). Conclusion Clinical pathway of integrated traditional Chinese and western medicine is effective in the treatment of children with bronchopneumonia, which can enhance clinical efficacy, improve clinical symptoms, and reduce the use of antibiotics.

     

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