| 祁本杰.腰椎后关节紊乱症中医门诊临床路径的实施与效果评价[J].实用中西医结合临床,2017,17(11): |
| 腰椎后关节紊乱症中医门诊临床路径的实施与效果评价 |
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| 投稿时间：2017-07-20 修订日期：2017-10-11 |
| DOI： |
| 中文关键词: 腰椎后关节紊乱症 临床路径 中医 实施效果 |
| 英文关键词: |
| 基金项目:本课题受江西省卫生计生委中医药科研基金课题基金资助(编号2015A224) |
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| 中文摘要: |
| ［］目的：研究腰椎后关节紊乱症中医临床路径的疗效评价、临床效益及实施效果,初步评估腰椎后关节紊乱症中医临床路径。方法：将100例腰椎后关节紊乱症患者按有无实施临床路径随机分为路径组50例(其中5例脱离)和对照组50例,分别评定临床疗效(VAS疼痛评分、总体疗效评定和显效时间)、临床效益(治疗费用)和实施效果(患者满意度评分)。结果：两组治疗均有效,两组间总体疗效及显效时间无显著性差异；路径组平均总费用及药品费、中医治疗费、物理治疗费、材料费均低于对照组,对应地路径组患者对治疗费用的满意率高于对照组。结论：临床路径能够有效地降低医疗费用,改善医疗品质,规范诊疗行为,减少资源浪费。 |
| 英文摘要: |
| ［］Objective: To evaluate the implementation effect of TCM-clinic- outpatient (Traditional Chinese Medicine) pathway for Disorder of face Joint of Lumbar vertebrae (DJL), including the clinical effect, the clinical expenses, and the satisfaction of patients. Methods: A total of 100 patients with DJL were selected and divided randomly into the clinical pathway group (50 cases, with a loss 5 cases) and the control group(50 cases). The differences of the clinical effect (score of VAS- Visual Analogue Sale, clinical efficacy, and onset time), the clinical expenses, and the satisfaction of patients of the two groups were compared．Results: Both of the two groups got effects. There’s no significant difference in the clinical efficacy and onset time between the two groups; But all of the total cost, the drug expense, the technical expense of TCM, the technical expense of physical treatment, and the material expense of the clinical pathway group were less than the control group. Responsibly, the clinic-pathway-group satisfaction with the expense was higher. Conclusion：It is helpful to lower the clinical effect, to improve the medical quality, to standardize the medical behavior, and to reduce the waste of resources to implement the clinical pathway. |
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