Application Research on Integrative Medicine Clinical Pathway for Irritable Bowel Syndrome

ZHANG Haiyan; CHEN Junqian; HUANG Shaogang; HUANG Suiping; LI Jianhua

doi:10.13288/j.11-2166/r.2014.12.014

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Application Research on Integrative Medicine Clinical Pathway for Irritable Bowel Syndrome

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- Application Research on Integrative Medicine Clinical Pathway for Irritable Bowel Syndrome
- Journal of Traditional Chinese Medicine Vol. 55, Issue 12, Pages: 1041-1043(2014)
- 作者机构：
  
  广东省中医院
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2014.12.014
  CLC： R574
- Published：2014
- 稿件说明：
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[1]张海燕,陈君千,黄绍刚,黄穗平,李建华.肠易激综合征中西医结合临床路径的应用研究[J].中医杂志,2014,55(12):1041-1043.

ZHANG Haiyan, CHEN Junqian, HUANG Shaogang, et al. Application Research on Integrative Medicine Clinical Pathway for Irritable Bowel Syndrome[J]. Journal of Traditional Chinese Medicine2014, 55(12): 1041-1043.
[1]张海燕,陈君千,黄绍刚,黄穗平,李建华.肠易激综合征中西医结合临床路径的应用研究[J].中医杂志,2014,55(12):1041-1043. DOI： 10.13288/j.11-2166/r.2014.12.014.

ZHANG Haiyan, CHEN Junqian, HUANG Shaogang, et al. Application Research on Integrative Medicine Clinical Pathway for Irritable Bowel Syndrome[J]. Journal of Traditional Chinese Medicine2014, 55(12): 1041-1043. DOI： 10.13288/j.11-2166/r.2014.12.014.

摘要

目的评价肠易激综合征（IBS）中西医结合临床路径应用于临床的实际效果。方法采用同期队列研究

将83例IBS患者分为路径组41例和非路径组42例

路径组患者在治疗指南的基础上

建立IBS中西医结合临床路径;非路径组患者按常规治疗。比较两组患者中医症状积分、平均住院天数和平均住院总费用。结果两组患者治疗后腹痛、腹胀、腹泻、便秘症状积分与治疗前比较均明显降低（P<0.05或P<0.01）;路径组腹胀积分治疗前后差值与非路径组比较

差异有统计学意义（P<0.05）。路径组患者平均住院天数为（5.88±2.38）天

非路径组为（6.83±2.88）天

两组比较差异无统计学意义（P>0.05）。路径组平均住院总费用（5609.32±1863.17）元

明显低于非路径组的（6616.33±2440.68）元（P<0.05）。结论 IBS中西医结合临床路径可有效改善患者临床症状、减少平均住院总费用。

Abstract

Objective To evaluate the efficacy of integrative medicine clinical pathway for irritable bowel syndrome（ IBS）. Methods A cohort study was adopted. Totally 83 cases of IBS were randomized into the pathway group with 41 cases and non-pathway group with 42 cases. The integrative medicine clinical pathway was established in the pathway group according to the treatment guidelines. The non-pathway group was given routine treatment. The relief of clinical symptoms

average hospital stays and average hospital costs were observed in both groups. Results The scores of abdominal pain

abdominal distention

diarrhea and constipation were significantly decreased after treatment in both groups（ P < 0. 05 or P < 0. 01）

especially the score of abdominal distention in the pathway group（ P < 0. 05）. The average hospital stays in the pathway group and non-pathway group were（ 5. 88 ± 2. 38） days and（ 6. 83 ±2. 88） days respectively

with no significant difference between groups（ P > 0. 05）. The average hospital costs in the pathway group and non-pathway group were（ 5609. 32 ± 1863. 17） yuan and（ 6616. 33 ± 2440. 68） yuan respectively

with a significant difference between groups（ P < 0. 05）. Conclusion The integrative medicine clinical pathway for IBS can effectively relieve symptoms and reduce the average hospital costs.

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