肝囊型包虫病开腹手术治疗临床路径应用效果分析

Analysis of Application Effect of Clinical Pathway in Human Hepatic Cystic Echinococcosis with Open Abdominal Surgery

目的:评价肝囊型包虫病开腹手术治疗临床路径的实施效果。方法:回顾性分析我院从2011年1月～2011年10月纳入临床路径管理的30例肝囊型包虫病开腹手术治疗患者的临床资料,分实验组(应用临床路径的30例患者)和对照组(未应用临床路径的30例患者),对平均住院天数、住院费用及患者满意度等方面进行比较。结果:路径组平均住院天数为(12.34±1.03)d,传统组(16.28±1.41)d;路径组平均住院费用为(14450±230)元,传统组(19620±270)元;路径组的患者满意度高于传统组,其差异均有统计学意义。结论:临床路径应用于肝囊型包虫病开腹手术治疗可以明显缩短平均住院时间,有效的降低诊疗费用,减轻患者的经济负担,提高患者满意度。

Objective： To evaluate the implementation effect of clinical pathway （CP） in hepatic cystic echinococ- eosis undergoing open operation treatment. Methods Retrospective analysis of the clinical data of 30 eases of patients into the surgery of the ltotal external capsule stripping operation in the First Affiliated Hospital of Xinjiang Medical University of clinical path management from 2011 January to 2011 October, divided into the experimental group （30 eases of application of clinical pathway） and control group （30 cases clinical path is not used ）, the average length of stay, the hospital charges and the satisfaction degree of patients were compared.Resuhs The average hospital stay of the CP groups was 12.34 ± 1.03 days, the traditional group was 16.28 ± 1.41 days; the average hospitalization ex- penses of the CP groups was 14450± 230 yuan, the traditional group was 19620 ±270 yuan; The CP groups＇s patient satisfaction was higher than the traditional group, the difference had statistical significance. Conclusion the method of clinical pathway can markedly decrease the length of stay ,hospital charges and increase the satisfaction degree of pa- tients and ensure the reasonable use of medical resources, for hydatid patients undergoing open operation treatment.