临床路径在唇裂手术治疗中的应用研究

Applied research about clinical pathway in the surgical treatment of cleft lip

目的探讨临床路径在唇裂手术治疗中应用的意义。方法选择316例唇裂接受手术治疗的住院病例,随机抽取其中158例按临床路径流程进行治疗的病例作为路径组,158例为按传统常规程序进行治疗的病例作为对照组,在住院天数、术前天数、住院总费用、药品费用、术后并发症及患者满意度方面进行分析和比较。结果经过规范的临床路径治疗,在住院天数、术前天数、住院总费用、药品费用、术后并发症、患者满意度等指标与对照组比较,减少了住院天数、费用及并发症,获得了更高的满意度,有显著性差异。结论有效合理的临床路径,能更好保证唇裂患儿的手术效果,缩短住院时间,减少住院费用,降低术后并发症。

Objective To explore the significance of the application of clinical pathway in the treatment of cleft lip. Methods 316 cases of cleft lip who have received surgical treatment were selected ,of which 158 cases were treated as the path group,following the clinical pathway procedure while the other 158 cases were treated as the control group,following the conventional procedure. The hospital day,days before surgery,total hospital costs,drug costs,postoperative complications and patient satisfaction were analyzed and compared. Results There was statistical significance between the path group and the control group, and the hospital day was shorter, the cost was less, the complications were fewer and patients were more satisfied in path group. Conclusions Reasonable and effective clinical pathway can ensure the effect of surgery of cleft lip patients, shorten hospital stay, reduce hospitalization cost and postoperative complications.