临床路径应用于下颌骨骨折手术80例效果分析

Analysis of the effect of clinical pathway in surgical treatment for 80 patients with mandibular fracture

目的探讨临床路径应用在下颌骨骨折手术中的效果。方法将80例下颌骨骨折患者按数字表法随机分为常规治疗组（对照组）40例和临床路径治疗组（CP组）40例。对照组采用传统的治疗模式，CP组采取临床路径模式。比较两组患者的住院天数、医疗费用、满意度、健康知识掌握情况、并发症发病率等。结果治疗组患者的住院天数、医疗费用、患者满意度、健康知识掌握情况分别为（11．86±3．05）d、（9115．43±1689．84）元、（91．19±1．02）％、（95．18±4．11）分，均优于对照组的（17．53±2．98）d、（12066．75±2513．22）元、（89．39±1．35）％、（82．83±6．56）分（t=8．41、6．16、6．73、10．01，均P〈0．05）；两组并发症发病率分别为2．5％、7．5％，差异无统计学意义（X^2=0．26，P〉0．05）。结论下颌骨骨折手术的临床路径值得在I临床推广应用。

Objective To explore the effect of clinical pathway in surgical treatment for patients with man- dibular fracture. Methods 80 patients with mandibular fracture were randomly divided into the conventional therapy group（ the control group） （ n = 40） and the clinical pathway therapy group（ CP group） （ n = 40 ）. The hospitalization time, medical expenses, satisfaction for the treatment, health awareness, and incidence of complications were compared between two groups. Results The results of hospitalization time, medical expenses, satisfaction for the treatment, and health awareness of the CP group were （ 11.86 ± 3.05 ） d, （9 115.43 ± 1 689.84） yuan, （91.19 ± 1.02） %, （95.18 ± 4. 11 ） points, respectively, which were significantly better than those of the control group [ （ 17.53 ± 2.98 ） d, （12 066.75 ±2 513.22） yuan, （89.39 ±1.35）%, （82.83 ±6.56） points] （t = 8.41,6.16,6.73,10. 01 ,all P 〈 0. 05）. The complication rate of the two groups was 2.5% ,7.5%, respectively, which had no significant differences （ X2 = 0.26,P 〉 0.05 ）. Conclusion The clinical pathway for mandibular fracture surgery is worthy of promotion.