计划性剖宫产在临床路径模式应用的效果分析  

Planned cesarean section in the application of clinical path mode effect analysis

作　　者：吴玲[1] 

机构地区：[1]广东省江门市妇幼保健院产科,广东江门529000

出　　处：《中外医疗》2012年第23期43-44,共2页China & Foreign Medical Treatment

摘　　要：目的探讨计划性剖宫产术在临床路径的应用效果。方法对该院2010年5月—2011年12月524例行计划性剖宫产手术的产妇,根据是否实施临床路径,将其中274例实施临床路径的产妇设为观察组,未实施实施临床路径250例作为对照组。观察组患者引入计划性剖宫产临床路径,对照组采用常规流程,比较两组患者住院时间、住院费用、抗生素使用天数、术后感染率及患者满意度。结果观察组患者住院时间短、患者满意度提高,抗生素使用天数减少,与对照组患者比较差异有统计学意义(P<0.05)。两组术后感染率比较,差异无统计学意义(P>0.05)。结论在计划性剖宫产中引入临床路径模式将缩短住院时间,优化医疗费用结构比例,起到了规范医疗行为,提高患者满意度的作用,带来良好的社会效益。Objective To evaluate the effect of of clinical pathway（CP）in patients undergoing planned cesarean section.Methods 524 patients undergoing planned cesarean section in Guang Dong Province Jiang Men Maternal and child health hospitall from May 2010 to December 2011 were divided into two groups.274 cases implemented clinical pathway were selected as research group,meantime 250 cases non clinical pathway as control group.The average hospitalization time,hospitalization expense,using antibiotic,Postoperative infections and the satisfaction degree of patients were compared.Results There were significant differences between two groups in hospitalization time,The satisfaction degree？of patients of the research group is significantly better than the control group,use of antibiotics in the number of days of observation group is less than the control group（P〈0.05）.while there was no obvious changes about infection after operation,（P〉0.05）.Conclusion The clinical pathway model introduced in the planned cesarean section will shorten the duration of hospitalization,to control hospital costs,and bring good social support to promote the needs of the relevant.Policies.

关 键 词：计划性剖宫产 临床路径 应用效果 满意度 

分 类 号：R4[医药卫生—临床医学]