临床路径在输尿管镜碎石取石术中的应用  

Application of clinical pathway on ureteroscopic lithotripsy

作　　者：丁德茂[1] 谢栋栋[1] 张涛[1] 王毅[1] 陈磊[1] 闵捷[1] 邹慈[1] 

机构地区：[1]安徽医科大学第二附属医院,合肥230601

出　　处：《安徽医学》2011年第12期2001-2003,共3页Anhui Medical Journal

摘　　要：目的通过对输尿管镜碎石取石术临床路径实施情况的分析,评价其临床应用效果。方法将临床路径实施组(2010年4月至2011年6月实施临床路径患者)与对照组(2009年1月至2010年3月未实施临床路径患者)的平均住院时间、平均住院费用及并发症的发生率等指标进行对比分析。结果实施了临床路径的患者与未实施临床路径的患者相比,平均住院时间缩短,平均住院费用下降,差异均有统计学意义,且并不增加并发症的发生率。结论输尿管结石实施临床路径,能够减少住院时间,降低经济费用,并加快医院床位周转率,显示出良好的经济效益和社会效益。Objective To evaluate the implementation effect of clinical pathway （CP） in patients of ureteric calculi undergoing ureteroscopie lithotripsy. Methods Patients of ureteric calculi from April 2010 to June 201l, who fit clinical pathway management, were as the CP group and patients from Jan. 2009 to March 2010 with the same condition were as the control group. The length of stay, the hospital charges, and the incidence of complication were compared between the two groups. Results There were significant differences in the length of stay and the hospital charges for the patients of CP group and control group. The incidence of complication was not increased. Conclusions Application of clinical pathway can shorten the length of stay, reduce the hospital charges, and accelerate the bed rotation rate. The economic returns and the social effects are preferably displayed.

关 键 词：临床路径 输尿管镜 碎石术 

分 类 号：R473.6[医药卫生—护理学]