[1]宣寒青沈黎辉陈奇贾昊杜柘彬仲海曹炀夏磊.超细经皮肾镜取石术日间手术临床路径实践[J].中国卫生质量管理,2021,28(04):001-4.[doi:10.13912/j.cnki.chqm.2021.28.4.01 ]
　XUAN Hanqing,SHEN Lihui,CHEN Qi.Clinical Pathway Practice of Ultra-Mini Percutaneous Nephrolithotomy for Ambulatory Surgery[J].Chinese Health Quality Management,2021,28(04):001-4.[doi:10.13912/j.cnki.chqm.2021.28.4.01 ]
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超细经皮肾镜取石术日间手术临床路径实践
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《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第28卷
期数:
2021年04期
页码:
001-4
栏目:
特别关注
出版日期:
2021-04-28

文章信息/Info

Title:
Clinical Pathway Practice of Ultra-Mini Percutaneous Nephrolithotomy for Ambulatory Surgery
作者:
宣寒青沈黎辉陈奇贾昊杜柘彬仲海曹炀夏磊
上海交通大学医学院附属仁济医院
Author(s):
XUAN Hanqing; SHEN Lihui; CHEN Qi
Renji Hospital,School of Medicine,Shanghai Jiaotong University
关键词:
临床路径; 日间手术; 超细经皮肾镜取石术; 肾结石
Keywords:
Clinical Pathway; Ambulatory Surgery; Ultra-Mini Percutaneous Nephrolithotomy; Renal Calculi
分类号:
R197.323；R692.4
DOI:
10.13912/j.cnki.chqm.2021.28.4.01
文献标志码:
B
摘要:
目的探讨超细经皮肾镜取石术治疗肾结石日间手术临床路径实践效果。方法回顾性分析2015年6月-2019年3月采用超细经皮肾镜取石术治疗肾结石患者的临床资料，分为日间手术临床路径组与住院手术组。结果日间手术临床路径组与住院手术组患者平均住院天数差异有统计学意义（P<0.05）；日间手术临床路径组患者平均住院费用显著低于住院手术组，差异有统计学意义（P<0.05）。两组患者结石清除率、再入院率、平均手术时间、术后血红蛋白下降值、术后无管化率、术后完全无管化率、VAS疼痛评分及并发症发生率等差异无统计学意义（P>0.05）。结论超细经皮肾镜取石术日间手术临床路径安全、可行，在保障医疗质量和安全的同时，缩短了住院时间，降低了医疗费用，优化了医疗资源配置，提高了医疗服务水平，是一种较好的管理模式。
Abstract:
ObjectiveTo investigate the effect of clinical pathway practice of ultra-mini percutaneous nephrolithotomy for renal calculi in ambulatory surgery.MethodsThe clinical data of patients with renal calculi treated by ultra-mini percutaneous nephrolithotomy from June 2015 to March 2019 were retrospectively collected and were divided into the ambulatory surgery clinical pathway group and the traditional surgery group.ResultsThe mean hospital stay in ambulatory surgery group was significantly lower than that in traditional surgery group (P<0.05). The mean medical cost in ambulatory surgery group was significantly lower than that in traditional surgery group (P<0.05). There were no significant differences in calculi clearance rate, readmission rate, mean operation time, postoperative hemoglobin decline, postoperative tubelessness rate, postoperative total tubelessness rate, VAS pain score and complication rate between the two groups (P>0.05).Conclusion The clinical pathway of ultramini percutaneous nephrolithotomy is safe and feasible. It is a good management mode, which not only ensures the medical quality and safety, but also reduces the length of hospital stay, reduces medical costs, optimizes medical resources, and improves the level of medical services.

参考文献/References:

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更新日期/Last Update: 2021-04-28