中文摘要：

目的探讨优化临床路径流程后对脑梗死病人管理的指导意义。方法采用非同期队列研究,将该院脑梗死临床路径实施后第1年和第2年被确诊为脑梗死患者分别作为第1组和第2组,统计两组入径病人病例数、平均年龄、药品费用、检查费用、住院天数等。结果第2组病人入径率较第一组病人入径率增加,而其平均药品费用、检查费用、住院天数也降低,差异有统计学意义（P〈0.05）;第2组较第1组溶栓病例数增加,介入治疗例数也增加,差异有统计学意义（P〈0.05）。结论实施脑梗死临床路径后并随着临床路径流程的优化,其入径管理工作逐步规范,患者入径率提高,平均住院天数、药品费用、检查费用降低,尤其是溶栓及介入治疗的广泛开展,突显出脑梗死的临床路径管理在医院管理和质量控制方面的作用。

英文摘要：

Objective inquire into the guiding significance of the improvement of clinic path process in cerebral patient management. Methods adopting non-concurrent cohort researching method, the patients diagnosed as cerebral infarction in the first year and second year after the implementation of clinical pathway of cerebral infarction in the hospital were considered as Group 1 and Group 2. Case number, average age, medicine fee, checkup fee and hospitalization days of the two cohort will be measured. Results path entrance rate of the second cohort of patients rises comparing to the first cohort and its average medicine fee, checkup fee and hospitalization days drops. The difference makes a statistical sense（P0.05）; thrombolysis case of the second cohort increases comparing to the first and interventional case also increases. The difference also makes a statistical sense（P0.05）. Conclusions after the implementation of cerebral infarction clinic path, as this path process improves, path entrance management work is normalized gradually, patient＇s path entrance rate rises while average hospitalization days, medicine fee and checkup fee is reduced. The extensive launching of thrombolysis and interventional treatment highlights the role that cerebral infarction clinic path management plays in hospital management and quality control.