腹股沟疝无张力疝修补术的临床路径分析  

The Analysis of Clinical Pathway in the Treatment of Inguinal Hernia

作　　者：王健[1] 陈浩[1] 林波[1] 周华平[1] 张升敏[1] 巫泓生[1] 江自卓[1] 曹天生[1] 

机构地区：[1]广州市南方医科大学附属花都区人民医院普外一区,广东广州510800

出　　处：《中外医疗》2012年第20期5-6,共2页China & Foreign Medical Treatment

摘　　要：目的研究临床路径对腹股沟疝无张力疝修补术的经济效能及手术安全性影响。方法按临床路径纳入和排除标准选取88例患者作为临床路径组,按相同标准选取临床路径实施前的88例患者作为对照组,分别统计分析住院前后天数、住院总费用、以及术后并发症等临床资料。结果临床路径组平均住院时间、药品费、治疗费、护理费等显著性低于对照组,而检查费、手术费和材料费两组间无显著性差异。结论临床路径有利于控制治疗费用、降低医疗成本、提高病床周转率,同时术后并发症无增加,治疗安全性无降低。Objective To study the reliability and economic efficacy of clinical pathway （CP） in the treatment of inguinal hernia. Methods Clinical pathway and traditional medical and nursing methods were adopted respectively. The clinical data of the hospital days, hospital charges, complications and other clinical data were studied. Results Comparing with the control group, the CP had shorter hospital days, lower charges ,included the fees of drugs, therapy and nursing. The fees of check, operation and stuff of the two groups had no significance difference. Conclusions The CP profited the control of the treatment cost, meanwhile, no risk of raising the complications.

关 键 词：临床路径 腹股沟疝 无张力修补术 

分 类 号：R4[医药卫生—临床医学]