临床路径在单侧完全性唇裂修复术中的应用分析  

Application analysis of clinical pathway in cleft-lip repair

作　　者：张莉[1] 陈涌[1] 依光叫[1] 聂国丽[1] 

机构地区：[1]云南省第二人民医院口腔颌面外科,云南昆明650021

出　　处：《广东牙病防治》2013年第4期196-198,共3页Journal of Dental Prevention and Treatment

摘　　要：目的探讨临床路径在单侧唇裂修复术中的应用效果。方法将单侧完全性唇裂患儿221例随机分为传统治疗对照组和临床路径观察组。传统治疗对照组109例采用传统医护模式,临床路径观察组112例采用临床路径医护模式,比较2组的平均住院费、平均住院天数、药费、检验费、手术费及患者满意度等。结果平均住院费传统治疗对照组为(6 935.0±581.0)元,临床路径观察组为(4 756.0±801.0)元;平均住院天数传统治疗对照组为(9.8±1.8)d,临床路径观察组为(6.0±1.6)d;平均药费传统治疗对照组(1 925.6±282.8)元,临床路径观察组为(608.8±74.5)元;患者满意度传统治疗对照组为90.82%,临床路径观察组为98.16%。上述各项指标在2组间差异均有统计学意义(P<0.05)。结论临床路径有助于提高医疗效率,降低医药费用,提高患者满意度。Objective To study tile effect c^f the application uf clinical pathway in cleft-lip repair. Methods Two hundred and twenty-one children with cleft-lip were randnndy divided into 2 groups, with 112 cases in observation group, a,rd 109 cases in control group. The patients in observation group were treated with clinical pathway, and those in the control group used the traditional medical model. The medical efficiency indices were analyzed. Results The total hos- pitalization expenses of cleft-lip repair children in observation group and control group were 6 935.0 yuan, and 4 756.0 yuan a,rd the difference was statistically significant. The hospital clay of control group was 9.8 days and that of observation group was 6.0 days. The drug fee of the control group was 1 592.6 yuan, and that of obsera＇ation grnup were 608.8 vuan. Patients＇ satisfaction rate of the control group was 90.82%, and 98.16% ira the observation group. Cnmpared the hospi- tal cost, hospital clays, expenses fur medicine and family satisfaction, the differences were statistically significant between the two groups. Conclution The pilot work of clinical pathway can effectively improve tire medical efficiency, standard- ize medical aetivitives, and improve patient satisfaction.

关 键 词：唇裂 临床路径 幼儿 

分 类 号：R782.21[医药卫生—口腔医学]