临床路径在腹腔镜胆囊切除术中的应用

Application of clinical path for laparoscopic cholecystectomy

目的探讨临床路径在腹腔镜胆囊切除术中的应用效果。方法选择240例行腹腔镜胆囊切除术患者,按入院先后顺序随机分为观察组和对照组,每组120例。观察组采用临床路径进行管理,对照组给予传统的护理模式进行管理,比较两组的各项临床指标。结果观察组与对照组的住院时间分别为(4.3±1.5)天和(6.5±1.8)天;住院费用分别为(5995.7±448.9)元和(6523.8±665.2)元;肛门排气时间分别为(29.4±7.9)小时和(43.2±18.8)小时;患者满意度分别为(98.8±2.2)%和(95.0±6.3)%,组间比较差异有统计学意义(P<0.05)。结论临床路径作为一种科学的诊疗及护理模式,应用于腹腔镜胆囊切除术,可以缩短住院时间,促进术后患者胃肠道恢复,降低住院费用,提高患者的满意度,值得在临床中推广应用。

Objective To explore the application of the clinical Pathway （CP） for laparoscopie choleeystectomy. Methods 240 patients required laparoscopic cholecystectomy were included in the study. According to admission, they were randomly divided into observationgroups and the control group （n=120）. Observation group was given the management of CP model and the control group received traditional managed care model. All clinical parameters were compared. Results The length of hospital stay of the observation group and control group were 4.3±1.5d and 6.5±1.8 d. The hospital cost of the observation group and control group were 5995.7±448. 9 Yuan and 6523. 8±665.2 Yuan. The anal exhaust time of the observation group and control group were 29.4±7.9 h and 43. 2±18. 8 h. The patient satisfaction of the observation group and control group were 98. 8±2.2% and 95.0±6.3%. Their differences were statistically significant （P〈0. 05）. Conclusion CP in laparoscopic cholecystectomy can shorten the hospital stay, postoperative gastrgintestinal promote recovery, reduce hospital costs and improve patient satisfaction.