摘要
目的评价肝囊型包虫病临床路径（cP）的实际临床应用效果。方法以2011年4月至2012年12月在新疆医科大学第一附属医院手术治疗的肝囊型包虫病患者的平均住院日、住院费用、患者满意度、健康知识掌握情况等和术后并发症（包括胆漏，出血，胸腹腔积液）等作为评价指标，将临床路径组（应用临床路径的患者）和传统组（未应用临床路径的患者）进行对比分析。结果临床路径组患者（n=72）与非临床路径组患者（n=72）在平均住院日、住院费用、患者满意度和出院时健康知识掌握情况等方面分别为（10．25±1．26）d、（19600．25±1520．73）元、（46．45±2．14）、（83．50±8．02）和（14．25±1．50）d、（23931．25±1629．17）元、（42．65±1．93）、（74．50±12．60）。两组患者各项指标差异均具有统计学意义（t=-4．086、-4．074、8．351、3．811；P〈0．05）。两组患者术后并发症（包括胆漏、出血、胸腹腔积液）分别为2、0、2例和0、4、5例，两组比较，差异无统计学意义（X2=0．17，0，0．6；P〉O．05）。结论肝囊型包虫病临床路径的实施可以有效缩短平均住院时间，降低诊疗费用，对减轻患者负担、提升满意度具有积极作用，值得推广。
Objective To evaluate the clinical pathway （CP） for treatment of hepatic cystic echinococcosis. Methods Data were retrospectively obtained from hospitalized patients with hepatic cystic echinococcosis （CE） who were treated surgically between April 2011 to December 2012. Patient treated with the clinical pathway （the CP group） were compared with patients who were treated with conventional treatment （the non-CP group）. The following outcomes were compared： the average length of in-hospital stay, the hospital charges, patient＇s satisfaction, patient＇s knowledge about his/ her own health and postoperative complications. Results For the CP groups, the length of in-hospital stay, the hospital charges, the patient＇s satisfaction and the health knowledge for the patients were （10.25±1.26）d, （19600.25±1520.73） yuan, （46.4 5±2.14）, （83.50±8.02）, respectively. The corresponding figures for the non-CP group were （14.25 ± 1.50） d, （23931.25 ±1629.17） yuan, （42.65 ± 1.93）, （74.50 ±12.60）, respectively. There were significant differences between the 2 groups （t=-4. 086,-4. 074, 8. 351, 3. 811; P〈0.05）. The postoperative complications, including bile leakage, bleeding, aseites and pleural effusion, were 2, 0, 2 cases in the CP group, and 0, 4, 5 cases in the nonCP group. There were no significant difference between the 2 groups （X2=0.17, 0, 0.6; P〉0.05）. Conclusion Our initial clinical experience showed that the clinical pathway decreased the length of in-hospital stay and hospital charges, and provided quality and efficient clinical services to patients with hepatic cystic echinococcosis.
出处
《中华肝胆外科杂志》
CAS
CSCD
北大核心
2013年第12期912-915,共4页
Chinese Journal of Hepatobiliary Surgery
关键词
肝囊型包虫病
临床路径
Hepatic cystic echinococcosis
Clinical pathway
