椎间盘镜治疗腰椎间盘突出症的临床路径实施效果分析  

Effect of Clinical Pathway to Treat Lumbar Disc Herniation By Microendoscopic Discectomy

作　　者：彭晓伟[1] 张改英[1] 

机构地区：[1]石家庄市中心医院骨科,河北石家庄050011

出　　处：《实用骨科杂志》2012年第8期684-687,共4页Journal of Practical Orthopaedics

摘　　要：目的分析椎间盘镜治疗腰椎间盘突出症的临床路径的实施效果和变异情况。方法本研究采用历史对照设计类型,实验组应用医院自行设计的临床路径诊疗模式,对照组采用传统诊疗模式,测量指标主要包括住院天数、住院费用、患者满意度和JOA评分,分析方法包括t检验和χ2检验。结果与非临床路径患者比较,进入临床路径患者总住院天数、手术前后住院天数、总住院费用、手术前后及手术日住院费均显著减少,患者满意度和JOA评分改善率显著提高。26例患者发生了临床路径变异。结论临床路径的实施能有效降低住院天数和住院费用,提高医疗质量和患者满意度,应重视记录、分析和处理临床路径变异。Objective To analyze the effectiveness and variance of clinical pathway to treat lumbar disc herniation by microendoscopic discectomy.Methods Historical control trial was used.Clinical Pathway（CP） was applicated for experimental group,and None Clinical Pathway（NCP） was applicated for control group.Observation index include hospitalization days,expenditure,satisfaction of patient,JOA score.T test and X2 test are used in the study.Results Compared to the control group,the total length of the hospital stay,the length of the hospital stay before and after surgery,the total medical costs,the surgery medical costs and medical care costs before and after surgery in hospital were declined,and the degree of satisfaction and JOA score were on rise in patients who took clinical pathways.Variance of CP were found in 26 patients.Conclusion CP is very helpful to control hospitalization days and expenditure,and improve medical quality and satisfaction of patients.Attention should be paid to the record,analysis and action of the variance of CP.

关 键 词：椎间盘突出症 临床路径 实施效果 变异 

分 类 号：R681.53[医药卫生—骨科学]