Retrospective Analysis of Stroke at Acute Stage Treated by Traditional Chinese Medicine Clinical Pathway
10.13359/j.cnki.gzxbtcm.2017.06.004
- VernacularTitle:中风急性期中医临床路径应用前后情况回顾性分析
- Author:
Jun Hao PENG
1
;
Huai TU
;
Jing Wen WANG
;
Cai Ji LAI
;
Hong Li PI
;
Qiang SHEN
;
Min Ya LIU
;
Bing Zhi WU
Author Information
1. 广州中医药大学第一附属医院脑病科
- Keywords:
stroke;
cerebral infarction;
acute stage;
traditional Chinese medicine clinical pathway;
manage scheme;
retrospective analysis
- From:
Journal of Guangzhou University of Traditional Chinese Medicine
2017;34(6):805-809
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effect for stroke(cerebral infarction)at acute stage intervened by traditional Chinese medicine(TCM) clinical pathway. Methods A retrospective analysis was carried out in the patients before and after intervention by TCM clinical pathway during the year of 2013-2016. The outcomes included the entrance rate,completion percentage,aberration rate,severity,hospitalization time,and hospitalization fee as well as functional prognosis 30 d after discharge. Results A total of 792 cases was included,241 cases admitted in the year of 2013, 191 in the year of 2014, 135 in the year of 2015, and 225 in the year of 2016. In the year of 2014-2016,the entrance rate,completion percentage,hospitalization time,hospitalization fee,critical case percentage,and gender constituent ratio were steadily(P > 0.05). Modified Rankin Scale(mRS)for short-term functional prognosis mRS 0 ~ 2 percentage and aberration rate in the year of 2016 were superior to those in the year of 2014 and 2015(P < 0.05). Functional improvement on discharge day 30 in the year of 2014-2016 was superior to that in the year of 2013(P < 0.05). The hospitalization time and hospitalization fee in the year of 2014-2016 were a liffle higher than those in the year of 2013(P < 0.05), showing no obvious increase. Conclusion The application of TCM clinical pathway can make the diagnosis and treatment procedure of stroke at acute stage standardized,enhance the therapeutic effect,achieve or even exceed the goal of manage scheme.
