原发性急性闭角型青光眼手术治疗临床路径的制定与实施

Development and implementation of clinical pathway in primary acute angle-closure glaucoma surgery

目的研究临床路径在原发性急性闭角型青光眼患者中的应用。方法将原发性急性闭角型青光眼患者(75例)分临床路径组(39例)和对照组(36例),临床路径组采用临床路径诊疗方法,对照组采用传统诊疗方法。分别统计其住院天数、住院费用、患者满意度等临床资料,并进行统计学分析。结果临床路径组住院费用为(4 586.49±371.36)元,平均住院天数为(8.75±1.32)d,明显均低于对照组。结论临床路径为患者提供了规范的服务,可以明显缩短住院时间,降低医疗费用。

Objective To study the application of clinical pathway in patients with primary acute angle closure glaucoma.Methods The acute angle-closure glaucoma patients（75 cases） were divided into the clinical pathway group（39 cases） and control group（36 cases）.The clinical pathway group used the methods of diagnosis and treatment of clinical path,and the control group used the traditional methods of diagnosis and treatment.The two groups were analyzed in the length of hospital stay,cost of hospitalization,patient satisfaction and other clinical data,respectively.Results The mean hospitalization costs was 4 586.49±371.36 Yuan,the average length of hospital stay was 8.75±1.32 days in the clinical pathway group,which was significantly lower than that in the control group.Conclusions The clinical pathway for patients provides a standardized service,significantly shorter hospital stays,and lower medical costs.