大肠息肉结肠镜高频电凝切术应用临床路径的效果评价

The Appraisement to The Effect of The High Frequency Electric Coagulating and Cutting Operation under Electronic Colonoscope of The Polypi in Large Intestine which Applies to The Clinical Pathway

目的评估大肠息肉结肠镜高频电凝切术应用临床路径的临床有效性、住院费用、临床安全性、病人和家属的满意度情况。方法大肠息肉结肠镜高频电凝切术患者随机分为两组,89例实施临床路径管理(路径组)与80例非临床路径组管理(非路径组),比较住院时间、住院总的费用、病人及家属的满意度等。结果临床路径组的平均住院费用、平均住院日及患者满意度分别为3386.02±521.98元、4±1.2天、95%±4.5%,而非临床路径组的平均住院费用、平均住院日及患者满意度分别为5356.08±422.83元、122.8天、85%±3.2%,两者之间比较均有显著性差异(P<0.05)。结论大肠息肉结肠镜高频电凝切术的临床路径的制定有利于该病的规范性治疗,可缩短住院时间,减少住院费用,增加病人及家属的满意度。

Objective： To evaluate the high frequency electric coagulating and cutting operation under electronic colonoscope of the polypi in large intestine which applies to the clinical pathway, including the effect in clinic, hospitalization expense, security in clinic and the conditions of the satisfactions of the patients and their family. Methods： The patients who are using the high frequency electric coagulating and cutting operation under electronic colonoscope of the polypi in large intestine are divided into two groups by chance. One group including 89 cases is put into effect of administer of clinical path, and the other group including 80 cases is put into effect of no administer of clinical path. we will compare the length of the time in hospital, the total expense, conditions of satisfactions of the patients and their family. Results： The total expense on average, the length of the time in hospital on average and the situations of satisfactions of the patients in the group of administer of clinical path are ￥3 386.02 ± 521.98, 4 ± 1.2 days, 95% ± 4.5%. But in the other group are ￥5 356.08 ±422.83, 122.8 days, 85%± 3.2%. Compared with them, we can see that there are apparent differences（P〉0.05）. Condusion： The applicability of the high frequency electric coagulating and cutting operation under electronic colonoscope of the polypi in large intestine is benefic to the treatment of such illness. Not only can shorten the length of the time in hospital, cut down the total expense in hospital, but also heighten the level of satisfactions of the patients and their family.