临床路径在腹腔镜治疗结石性胆囊炎中的应用

Observation of clinical pathway applied cholecystitis laparoscopic surgery

目的探讨临床路径在腹腔镜治疗结石性胆囊炎患者中的应用效果。方法选择2011年2月—2013年5月鄄城县第二人民医院实施腹腔镜治疗的结石性胆囊炎患者52例,按随机方法分为常规组和试验组,各26例,常规组实施常规腹腔镜治疗,试验组应用腹腔镜临床路径治疗,对比两组治疗效果,患者住院时间、治疗费用及患者满意度等指标。结果试验组平均住院时间为(5.48±1.12)d,平均住院费用为(9821.33±1986.03)元,均优于常规组,对比差异有统计学意义(P<0.05);常规组与试验组均全部治愈,治愈率100.00%;试验组患者满意度96.15%,明显优于常规组,对比差异有统计学意义(P<0.05);常规组并发症1例,试验组并发症1例,两组并发症发生率差异无统计学意义(P>0.05)。结论腹腔镜治疗结石性胆囊炎患者,应用临床路径方案可以节省患者住院时间及住院费用,且能提升患者满意度。

Objective To investigate the use of laparoscopic treatment for cholecystitis patients, the application effect of clinical pathways. Methods February 2011-2013 in May, the implementation of 52 cases of laparoscopic treatment of patients with cholecystitis, according to conventional mathematical were randomly divided into conventional groups and experimental groups, each of 26 cases, the conventional therapy group received conventional laparoscopy, experimental group received laparoscopic treatment of clinical pathways, compared two groups of treatment, hospitalization time, the cost of treatment and patient satisfaction and other indicators. Results The experimental group, the average length of stay was （5.48 ± 1.12） d, the average hospital cost （9821.33 ± 1986. 03 ） million, were superior to the conventional group, the difference was statistically significant comparison, conventional group and the test group were cured, the cure rate ,sas 1130.00% ; Experimental group patient satisfaction was 96.15% , significantly better than that of the conventional group, the difference was statistically significant contrast （P 〈 0. 05） ; conventional one case of complications, complications one case the test group, the complication rateps the difference was not statistically significant. Conclusion Laparoscopic treatment for use in patients with cholecystitis, the application program can save patients the clinical path length of stay and hospital costs, and enhance patient satisfaction.