摘要
目的 与“急诊 -住院”模式比较 ,探讨“急诊 -留观 -院外序贯治疗”模式对社区获得性肺炎的治疗优势。方法 10 0例社区获得性肺炎患者随机分为 2组 ,分别给予“急诊 -住院”或“急诊 -留观 -院外序贯治疗”模式治疗。比较两组患者的疗效 (5天缓解率 )、不良反应、留院时间、治疗费用、病死率等指标。结果 A、B组间病死率、5天内病情缓解率没有显著性差异 (P >0 0 5 ) ;A组的留院时间、不良反应和治疗费用均较B组少 ,差异有显著性 (P <0 0 5 )。结论 及早实施口服序贯治疗不仅可以缩短住院时程 ,还可减少因静脉点滴用药时间延长引起的不良反应 ,是节省医疗费用和提高患者依从性的有效办法。
Abstract Objective The abstract Objective of this study is to investigate the cast-effectiveness of our new management model: Emergency consultation-observation room-ambulatory care.Methods one hundred selected CAP cases were randomly divided into 2 subgroups. One group was managed by the new model while another managed by the old method cemergency consultation-inpatient adminsion.Data of the two 2 subgroups:mortality, resolution of morbidity (<=5 days), length of hospital stay, adverse events and treatment cost were compared. Results There were no significant differences in mortality, resolution rate of morbidity (<=5 days) between Groups A and B(P>0.05).But there were significant differences in length of hospital stay, adverse events and treatment cost between the 2 subgroups (P<0.05) .Conclusion Early change to oral antibiotics not only can reduce the length of hospital stay, but also cut down the adverse reactions due to the long course of intravenous antibiotic usage. By this model we can reduce the cost of treatment and improve the compliance of patients.
出处
《中华急诊医学杂志》
CAS
CSCD
2004年第6期406-408,共3页
Chinese Journal of Emergency Medicine
