临床路径在昏迷病人急救中的应用.pdfVIP

∀ 1738 ∀ 西部医学 20 10 年9 月 第22 卷第9 期 M ed J West Chin , Sept 2010, Vol. 22, No. 9 谢 敏, 杨宁梅, 侯 颖 ( , 637000) [ ] 探讨临床路径在昏迷病人急救中的应用价值 制定昏迷病人处理临床路径, 采用 机对照 设计, 将新收入ICU 的98 例昏迷待诊患者 机分成试验组和对照组各49 例, 试验组按照临床路径对患者实施急救; 对 照组实施传统的治疗护理方法, 比较两组患者相同时段的意识状态确诊时间入住ICU 时间及费用及并发症发生率 等指标 治疗后1~ 12 小时内和12 小时后, 两组格拉斯哥昏迷( GCS) 评分确诊时间住ICU 时间费用并发症 发生率都有显著性差异(P 0. 05) 临床路径的诊治和护理方法更科学更符合急救特点 [ ] 临床路径; 昏迷病人; 急救 [ ] R 472. 2 [ ] A [ ] 167235 11( 2010) Evaluation on the effect of clinical pathway on patients with coma in the intensive care unit XIE Min, YANG Ning- mei, HOU Ying, ( N anchong Cent ral H osp i tal , N anchong 637000, Si chu an, Chi na ) A stract O jective T o ev lu te the effect of clinic l p th p tients on p tients w ith com in t he ICU . Methods P tients were r ndomly divided into experiment l group nd control group w ith 49 c ses e ch. T r dition l tre tment, nursing c re nd clinic l p thw y method w ere implemented respectively in the control nd st udy group. W e com p red the st t e of consciousness, confirmed di gnosis time, ICU st y time, tre tment cost s nd complic tion r tes between - group. Result There w ere signific nt difference in the bove- ment ioned ev lu t ion indic tors betw een two groups ( P 0. 05) . Conclusion The clinic l p thw y for p tients w ith com is more scientific, nd more suit ble for f irst id. Key words Clinic l p t hw y; Com ; T he first id ( Clinic l P thw y, CP) ( GCS) ( P 005) , , 1. 2 , 1. 2. 1