临床路径在计划性剖宫产中的应用分析

Application of clinical pathways in planned cesarean section

目的:探讨临床路径在剖宫产这一单病种中的应用效果。方法:将2010年1～12月符合剖宫产临床路径实施条件的剖宫产术者作为研究对象,分析临床路径组与对照组的术前住院天数、平均住院日、住院费用、并发症、纠纷发生数及患者满意度等。结果:临床路径组术前住院天数、住院总天数减少;住院总费用略有降低,患者满意度上升。结论:临床路径的实施对保证医疗质量、控制医疗费用有一定的促进作用,是切实有效、可行的一种诊疗方式。

Objective：To investigate the clinical pathway for cesarean section in the application effect of single disease. Methods：The object of study was parturient women choosing cesarean section that satisfied the conditions for clinical pathway of cesarean section from January to December, 2010, which divided into clinical path group and control group. The preoperative length of stay,the average hospitalization days, cost of hospitalization, complications, and patient satisfaction and disputes in the two groups were analyzed. Results：In clinical pathway group, preoperative length of stay, total days of hospital stay were reduced, total cost of hospitalization was decreased shghtly, and patients＇ satisfaction was improved. Conclusion：The implementation of clinical pathway is helpful to guarantee the medical quality and control the medical expense. It is an effective, feasible method of diagnosis and treatment.