临床路径在计划性剖宫产中的应用250例效果分析

Effect Analysis of Clinical Pathway Model in 250 Planned Cesarean Section

目的探讨卫生部试行的临床路径管理在昆明医科大学附属甘美医院计划性剖宫产中的应用效果.方法选取250例已实施临床路径管理的计划性剖宫产孕妇(路径组)和200例未实施临床路径管理的计划性剖宫产孕妇(对照组),对2组孕妇的住院天数、住院总费用、药品费用、检查费用,以及患者的满意度和术后并发症等指标进行综合比较分析.结果路径组住院天数比对照组缩短,差异有统计学意义(P<0.01),住院总费用2组比较,差异有统计学意义(P<0.05);对于住院总费用的构成变化,路径组药费下降,但治疗费增加,2组间的药费和治疗费比较,差异有统计学意义(P<0.05);路径组患者满意度较对照组有所提高,但差异无统计学意义(P>0.05),术后并发症率无明显改变.结论临床路径应用于计划性剖宫产缩短住院天数、降低了住院费用、带来良好的社会效应.

Objective To evaluate the effect of clinical pathway(CP)in patients undergoing planned cesarean section.Methods 450 patients undergoing planned cesarean section in the affiliated calmette hospital of Kunming Medical University from April 2011 to April 2012 were divided into two groups: 250 cases applied with clinical pathway as CP group and 200 cases without clinical pathway as control group.The average hospital stays,hospitalization costs,medicine expense,inspection charge,postoperative complications and the satisfaction degree of patients were compared.Results The hospital stays and medicine expense of CP group were less than those of the control group,and the difference was statistically significant(P < 0.05).But there was no obvious difference about postoperative complications and the satisfaction degree of patients between the two groups(P > 0.05).Inspection charge of the CP group was higher than that of the control group(P < 0.05).Conclusion The clinical pathway model introduced in the planned cesarean section will shorten the hospital stays,reduce the hospitalization costs,and bring a good social effect.