摘要
目的探讨实施单病种质量管理对儿童社区获得性肺炎治疗效果的影响。方法选取收治的208例儿童社区获得性肺炎患儿,未进入单病种质量管理92例作为对照组;进入单病种质量管理116例作为观察组。对照组采用常规治疗进行处理,观察组采用标准的单病种质量管理实施流程进行治疗。比较2组患儿平均住院日、住院费用、患者满意度、病原学送检率、抗菌药物选择合理性的差异。统计学采用t检验和u检验。结果观察组患儿平均住院日、住院费用、患者满意度、病原学送检率分别为(6.60±0.8)d、(2478±102)元、100%、93%,对照组分别为(7.9±1.7)d、(2735±121)元、92%、38%,2组比较差异有统计学意义(P<0.01)。且使用抗生素合理性观察组优于对照组。结论实施单病种质量管理对儿童社区获得性肺炎治疗、社会效果好,临床医师诊疗过程、使用药物更加规范、合理。
Objective To discuss the influence of single disease quality management on the therapeutic efficacy of com- munity-acquired pneumonia（CAP） in children. Methods 208 children with CAP in our hospital were divided into con- trol group （92 cases ） and observation group（ 116 ）. The control group received the conventional treatment, while the obser- vation group received the treatment according to single disease quality management manual. The average hospitalization days, hospital expenses, patient satisfaction, pathogen detection rate, rational selection of antimicrobial drugs were com- pared between the two groups. T test and U test were employed to analyze the data. Results The average hospitalization days, hospital expenses, patient satisfaction, pathogen detection rate in the observation group were （6.60 ± 0.8 ） d, （2478 ± 102） ￥, 100% and 93% ,respectively,and in the control group were（7.9 ± 1.7） d, （2735 ± 121 ） ￥,92% and 38%, respectively, there was statistical significance between the two groups （ P 〈 0.01 ）. Conclusion The use of single disease quality management for the community-acquired pneumonia（CAP） in children can approach a better therapeutic efficacy, and make the diagnosis, treatment and use of drugs more standard and reasonable.
出处
《中华全科医学》
2014年第6期952-954,共3页
Chinese Journal of General Practice
关键词
单病种质量管理
儿童社区获得性肺炎
Single disease quality management
Community-acquired pneumonia in children
作者简介
通讯作者：杨丽军，E—mail：ylj75121@163．com
