| 摘要: |
| 目的 分析上海市浦东新区区属综合医院急性心肌梗死（AMI）住院诊疗的过程质量。 方法 按照国家卫生和计划生育委员会的AMI单病种质量控制指标,对浦东新区7所区属公立综合医院随机抽取的97份病案进行评价。 结果 被调查患者中，到院即刻使用阿司匹林并有病史记录的占70.53%，24小时内接受了β受体阻滞剂治疗的占66.67%，患者住院与出院用药较一致；三级医院在左心室功能评价、再灌注治疗、血脂控制与健康教育等方面表现优于二级医院。 结论 浦东新区区属综合医院临床医师需遵照国家卫生和计划生育委员会发布的AMI单病种质量控制指标，例如规范AMI住院患者的阿司匹林和β受体阻滞剂的使用与记录，加强二级医院AMI治疗能力。 |
| 关键词: 急性心肌梗死 住院诊疗 过程质量 |
| DOI： |
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| Analysis of the Process Quality in Inpatient Care of AMI in Public Comprehensive Hospitals |
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| Abstract: |
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Objective
To analyze the process quality of inpatient care of acute myocardial infarction (AMI) in comprehensive hospitals of Pudong New Area. Methods 97 AMI charts chosen randomly from 7 public comprehensive hospitals of Pudong New Area were reviewed and evaluated according to the guideline of CAP issued by National Health and Family Planning Commission. Results 70.53% patients used aspirin immediately when they arrived at the hospital and made records in charts, and 66.67% of them used β-blocker in 24 hours. Besides, inpatient medication was in accordance with discharge medication. The tertiary hospital performed better than the secondary hospital in evaluation of left ventricular function, reperfusion therapy, lipid lowering therapy and health education. Conclusion It is revealed that physicians in public comprehensive hospitals of Pudong New Area should follow the guideline for AMI issued by National Health and Family Planning Commission of China, for example, appropriately using aspirin and β-blocker and making records in charts. The treatment capacity of AMI of the secondary hospitals should also be improved. |
| Key words: acute myocardial infarction, hospital diagnosis and treatment, process quality |
