临床路径在腰椎间盘突出髓核摘除术病人中的应用探讨

Application of clinical pathway in management of lumbar disc herniation discectomy

目的 探讨临床路径在腰椎间盘突出髓核摘除术病人中的应用效果.方法 选取腰椎间盘突出髓核摘除术患者48例,随机分为对照组和试验组,每组24例.对照组采用传统方法进行治疗和护理,试验组采用临床路径进行治疗和护理.对两组术后临床效果、患者满意度、平均住院天数、住院费用进行比较和统计学分析.结果 两组术后康复Macnab标准功能评定无明显差异 平均住院天数、住院费用试验组明显低于对照组 而患者满意度高于对照组.结论 应用临床路径骨理腰椎间盘突出髓核摘除术病人,在不影响治疗效果的同时,减少了住院天数和住院费用 提高了患者满意度、整体医疗质量和医护工作效率.

Objective To evaluate the application of clinical pathway in patients with lumbar disc herniation who were treated with discectomy. Methods 48 patents were randomly divided into the control group and the test group, 24 patents in each group. The control group was managed in traditional mothods while the test group was managed in clinical pathway. The clinical results, patient satisfaction,average length of stay and hospital charges were compared and statistically analyzed between two groups.Results After the clinical pathway application, the hospital residence day and medical cost were decreased and the health knowledge and satisfactory rate of the patients were enhanced, although, there were no significant differences in treatment effects between two groups. Conclusion The application of clinical pathway in patients with lumbar disc herniation who were treated with discectomy can improve the overall health care quality and efficiency of health care work as well as the satisfactory rate of the patients.