一体化管理模式在急性主动脉夹层患者救治中的应用
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摘要
目的:探讨一体化管理模式在急性主动脉夹层患者救治中的作用。方法:选取急性主动脉夹层患者344例,2016年1月-12月就诊125例(对照组)按常规模式管理,2017年1月-12月就诊219例(实验组)按一体化模式进行管理,比较两组病死率、误诊率及患者满意度。结果:实验组病死率、误诊率明显低于对照组,差异有统计学意义(P<0.05);实验组患者满意度明显高于对照组,差异有统计学意义(P<0.05)。结论:一体化管理模式可降低急性主动脉夹层患者病死率、误差率,提高患者满意度。
Objective:To discuss the effect of the integrated management model in treatment of patients with acute aortic dissection. Methods:344 patients with acute aortic dissection were divided into control group(n=125, from January 2016 to December 2016) and intervention group(n=219, from January 2017 to December 2017). The control group received routine management model, and the intervention group was treated with the integrated management model. The case fatality rate, misdiagnosis rate and the satisfaction of the patients of those two groups were compared.Results: After intervention, the case fatality rate and misdiagnosis rate are lower than the control group(P<0.05),while the satisfaction of the patients is higher than the control group(P<0.05), which are both with statistically significant differences. Conclusion: The integrated management model can effectively reduce the case fatality rate and the misdiagnosis rate, and improve the satisfaction of the patients with the acute aortic dissection.
Objective:To discuss the effect of the integrated management model in treatment of patients with acute aortic dissection. Methods:344 patients with acute aortic dissection were divided into control group(n=125, from January 2016 to December 2016) and intervention group(n=219, from January 2017 to December 2017). The control group received routine management model, and the intervention group was treated with the integrated management model. The case fatality rate, misdiagnosis rate and the satisfaction of the patients of those two groups were compared.Results: After intervention, the case fatality rate and misdiagnosis rate are lower than the control group(P<0.05),while the satisfaction of the patients is higher than the control group(P<0.05), which are both with statistically significant differences. Conclusion: The integrated management model can effectively reduce the case fatality rate and the misdiagnosis rate, and improve the satisfaction of the patients with the acute aortic dissection.
引文
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[2]乔平.931例主动脉夹层十年回顾性分析[D].华中科技大学,2014.
[3]白雪,余辉,袁清华,等.358例主动脉夹层发病危险因素、临床特点及预后分析[J].新疆医科大学学报,2013,36(10):1473~1475.
[4]明广华,张宇辉,吴海英,等.179例主动脉夹层患者的临床资料分析[J].中国循环杂志,2004(19):363~366.
[5]孙惠萍,彭辉,马依形,等.新疆急性主动脉夹层患者653例临床特点及院内死亡危险因素分析[J].中华高血压杂志,2013,21(4):361~364.
[6]胡国富,金毕,郑鸿,等.287例主动脉夹层的分析[J].华中科技大学学报,2011,31(1):107~113.