手术治疗子宫肌瘤中临床路径的应用

Application of clinical pathway in the surgical treatment of uterine fibroids

目的:探讨在子宫肌瘤手术中开展临床路径(clinical pathway,CP)的方法及效果。方法:将194例接受手术治疗的子宫肌瘤患者随机分为CP组和对照组,对照组采取常规临床诊疗模式,CP组在常规诊疗模式的基础上,采取CP服务模式。对比两组的服务满意度、住院时间以及诊疗费用。结果:CP组患者的服务满意度高于对照组(P<0.05);CP组的检查费用、药品费用、住院床日费用以及总住院费用均低于对照组(P<0.05);CP组术前住院时间、术后住院时间均短于对照组(P<0.05);两组患者的院内感染率及再入院率比较,差异无统计学意义(P>0.05)。结论:在子宫肌瘤手术中应用CP模式能够降低医疗费用,缩短住院时间,提高医疗服务质量,值得在临床中推广应用。

Objective： To explore the method and the effectiveness of clinical pathways（ CP） in the surgical treatment of uterine fibroids.Methods： 194 patients with uterine fibroids who had received surgical treatment were randomly divided into the CP group and the control group.The patients in the control group were treated with the traditional clinical method while the patients in the CP Group were further treated with CP model on the basis of the traditional clinical method,Patient＇s satisfaction,length of stay and medical expenses compared. Results： Patient＇s satisfaction in the CP group was significantly higher than that in control group（ P〈0. 05）. Inspection charge,medicine expenses,one day fee in hospital and the total hospitalization expenses were significantly less than those in control group（ P〈0. 05）. Length of stay before and after the surgery in the CP group was significantly shorter than that in control group（ P〈0. 05）. There was no significant difference as to nosocomial infection and readmission rates between the two groups（ r〉0. 05）. Conclusion： Application of CP model in the surgical treatment of uterine fibroids can effectively control medical expenses,shorten the length of stay and improve the quality of medical service,being worth promoting clinically.