临床路径在腹腔镜小儿单纯性阑尾切除术中的应用

Clinical pathway on children simple appendectomy with laparoscopic

目的探讨临床路径在腹腔镜小儿单纯性阑尾切除术中的应用效果。方法选择110例行腹腔镜单纯阑尾切除术的小儿患者,按入院先后顺序随机分为观察组和对照组,每组55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,比较两组的住院时间、住院费用、并发症发生率、患者满意度等临床指标。结果观察组与对照组的住院时间分别为(3.0±0.5)d和(5.3±0.5)d;住院费用(2458.00±352.00)元和(3126.00±485.00)元;患者满意度分别为92.73%和67.27%,组间比较差异具有统计学意义(P<0.05)。并发症发生率分别为3.6%和5.5%,组间比较差异无统计学意义(P>0.05)。结论临床护理路径应用于腹腔镜小儿单纯性阑尾切除术,可以缩短住院时间,降低住院费用,提高患者的满意度,具有重要临床价值。

Objective To explore the application of the clinical pathway（CP） on children simple appendectomy with laparoscopic. Methods 110 children required laparoscopic appendectomy were included in the study. According to admission, they were randomly divided into two groups and the control group （n = 55）. Observation group was given the management of CP model, the control group received traditional managed care model. All clinical parameters were compared including hospitalization time, hospitalization costs, complication rates and patient satisfaction. Results The group and control group, length of hospital stay was （3.0±0.5）d and （5. 3±0.5）d; hospital costs （2458.00±352.00） yuan and （3126.00±485.00）yuan; patient sarisfactions were 92.73% % and 67.27% ,the difference was statistically significant between groups （P〈0.05）. The complication rates were 3.6% and 5.5 %. The difference was not statistically sig- nificantbetween groups（P〉0.05）. Conclusion CP used in laparoscopic children with simple appendectomy can shorten the hospital stay, reduce hospital costs and improve patient satisfaction.