巩膜扣带术临床路径实施1年的结果分析及可行性评价  

Outcome and evaluation of scleral buckling operation by managing with clinical path for 1 year

作　　者：乔岗[1] 王晓莉[1] 代艳[1] 姜世怀[1] 余敏[1] 曾健[1] 

机构地区：[1]绵阳市中心医院眼科,四川绵阳621000

出　　处：《四川医学》2011年第11期1740-1742,共3页Sichuan Medical Journal

摘　　要：目的回顾分析我院实施巩膜扣带术临床路径前后各1年的临床资料,评价临床路径在该类手术干预的可行性。方法以2010年1月～2010年12月因孔源性视网膜脱离在我院行巩膜扣带术治疗进入临床路径干预的患者76例为研究对象(A组),以2009年1月～2009年12月因同样疾病治疗未采用临床路径干预的71例患者为对照组(B组)。分析两组的术前工作日、疗效、平均住院日、平均费用、患者满意度等指标。结果临床路径干预组(A组)平均术前工作日(2.1±1.5)d,平均住院日(7.5±2.1)d,平均费用(2130.6±178.5)元,对照组(B组)平均术前工作日,(3.5±1.5)d,平均住院日(9.5±3.6)d,平均费用(3015.8±215.2)元,结果经统计学分析差异有统计学意义。两组疗效及患者满意度比较差异没有统计学意义。结论巩膜扣带术临床路径实际运行中具有缩短术前工作日及住院时间,节约费用的优点。实施临床路径不会降低手术质量和治疗效果及患者满意度。Objective Retrospective analysis the outcome of scleral buckling operation by managing with clinical path in our hospital for 1 year,and to appraise the feasibility of this way.Methods 76 patients who sufferd rhegmatogenous detachment of retina from January to December in 2010 were cured with scleral buckling operation by managing with clinical path.They are divided group A.The group B were another 71 patients from January to December in 2009,who sufferd the same disease and cured with the same operation not by managing with clinical path.The working days before surgery,days in hospital and cost for cure,curative effect,gratification of paitent are all recorded to analysis.Results The group A has working days before surgery（2.1±1.5） days,days in hospital（7.5±2.1） days,cost for cure（2130.6±178.5） yuan.The group B has working days before surgery（3.5±1.5）days,days in hospital（9.5±3.6） days,cost for cure（3015.8±215.2）yuan.They are so different in statistics.But there are no difference in curative effect and gratification of paitent between the two group.Conclusion The scleral buckling operation by managing with clinical path can shorten working days before surgery and days in hospital,so that it can save cost for cure.In clinic,this way will not cut down quality for cure and gratification of paitents.

关 键 词：孔源性视网膜脱离 巩膜扣带术 临床路径 

分 类 号：R779.6[医药卫生—眼科]