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某三甲医院急性阑尾炎阑尾切除术中临床路径的应用与效果评价

Application of Clinical Path in the Appendectomy of Acute Appendicitis in Some AAA Hospital and Evaluation of Effect
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摘要 目的重点了解临床路径方案合理应用于急性阑尾炎阑尾切除手术患者中的效果及其价值。方法研究选取228例于2011年1月—2012年9月间因急性阑尾炎入住大连医科大学附属二院普外科的患者,予以阑尾切除手术治疗,但并未施行临床路径,作对比组。同时选取228例于2012年10月—2014年1月间因急性阑尾炎入住该院的患者,同样予以阑尾切除手术治疗,且施以临床路径,作观察组,观察两组的满意度、住院时间以及变异原因等。结果实施临床路径方案后,观察组患者中有227例(99.56%)对于科室工作质量感到满意,而对比组有217例(95.18%)(P<0.05),同时观察组228例住院时间(6.15±1.25)d,对比组228例是(5.66±1.41)d(P>0.05)。结论对于实施阑尾切除手术的急性阑尾炎患者,通过施以临床路径,可提升其满意度,因此在单病种管理中值得推广。 Objective To know the effect and value of rational application of clinical path plan in appendectomy of pa- tients with acute appendicitis. Methods 228 cases of patients with acute appendicitis treated in our hospital from Jan- uary 2011 to September 2012 were selected and treated with appendectomy, but the clinical path was not implemented, the patients were selected as the comparison group, at the same time, 228 cases of patients with acute appendicitis treated from October 2012 to January 2014 were selected as the observation group, and they adopted the clinical path, and the satisfactory degree, length of stay and variant causes were observed. Results After the implementation of clini- cal path plan, 227 cases of patients in the observation group were satisfied with the work quality of the department, while 217-cases in the comparison group were satisfied (95.18%)(P〈0.05), at the same time, the length of stay in the observation group and in the comparison group was respectively (6.15±1.25)d and (5.66±1.41)d(P〉0.05). Conclusion For acute appendicitis patients treated with appendectomy, the clinical path can improve the satisfactory degree, there- fore, it is worth promotion in the management of single disease.
作者 孙洋 马莉
出处 《系统医学》 2017年第7期143-146,共4页 Systems Medicine
基金 辽宁卫生发展中心课题资助(项目编号:2014LNWSFZB1)
关键词 临床路径 住院时间 急性阑尾炎 阑尾切除术 Clinical path Length of stay Acute appendicitis Appendectomy
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