[1]张丹枫金巧莹张亚平锁涛丁昉孙湛周平红.改良版结直肠息肉临床路径应用效果分析[J].中国卫生质量管理,2021,28(04):005-7.[doi:10.13912/j.cnki.chqm.2021.28.4.02 ]
　ZHANG Danfeng,JIN Qiaoying,ZHANG Yaping.Analysis of Application Effect of Modified Version of Colorectal Polyp Clinical Pathway[J].Chinese Health Quality Management,2021,28(04):005-7.[doi:10.13912/j.cnki.chqm.2021.28.4.02 ]
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改良版结直肠息肉临床路径应用效果分析
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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:
005-7
栏目:
特别关注
出版日期:
2021-04-28

文章信息/Info

Title:
Analysis of Application Effect of Modified Version of Colorectal Polyp Clinical Pathway
作者:
张丹枫金巧莹张亚平锁涛丁昉孙湛周平红
复旦大学附属中山医院
Author(s):
ZHANG Danfeng; JIN Qiaoying; ZHANG Yaping
Zhongshan Hospital, Fudan University
关键词:
内镜; 日间病房; 结直肠息肉; 临床路径; 日间手术
Keywords:
Endoscopy;  Day Ward;  Colorectal Polyp;  Clinical Pathway;  Ambulatory Surgery
分类号:
R197.323;R574.62
DOI:
10.13912/j.cnki.chqm.2021.28.4.02
文献标志码:
B
摘要:
目的探讨内镜日间病房改良版结直肠息肉临床路径应用效果。方法收集2019年收治于内镜日间病房的结直肠息肉患者的病历资料，分为对照组与改良组，分析比较改良版临床路径施行前后住院天数、费用、入径等情况。结果改良组患者均次住院费用、住院天数低于对照组，入径情况优于对照组。结论改良版结直肠息肉临床路径可提升医疗质量水平，降低均次费用，缩短住院时间，有推广意义。但在推行过程中应加强质量管理。
Abstract:
ObjectiveTo explore the application effect of modified clinical pathway for colorectal polyps in endoscopic day ward.MethodsClinical information of patients with colorectal polyps admitted to the endoscopic day ward in 2019 was collected and divided into the control group and the improved group. The length of stay, cost and approach before and after the implementation of the improved clinical pathway were analyzed and compared.ResultsThe average hospitalization expenses and admission days in the improved group were lower than those in the control group, and the access rate was better.Conclusion The modified clinical pathway of colorectal polyp can improve the medical quality,reduce the average hospitalization expenses and shorten the admission days, which is of great significance for popularization.However, quality management should be strengthened in the process of implementation.

参考文献/References:

［1］孙博，刘雷，王东光.国内日间手术发展进程、存在问题与对策建议［J］.中国卫生质量管理，2018，25（5）：17-20. ［2］于丽华.中国日间手术发展的历程与展望［J］.中国医院管理，2016，36（6）：16-18. ［3］Steinemann DC，Müller PC，Probst P，et al.Meta-analysis of hybrid natural-orifice transluminal endoscopic surgery versus laparoscopic surgery［J］.Br J Surg，2017，104（8）：977-989. ［4］Click B, Pinsky PF, Hickey T, et al. Association of colonoscopy adenoma findings with long-term colorectal cancer incidence［J］.JAMA，2018，319（19）：2021-2031. ［5］屠继军，陈国昌，刘芊，等.无症状人群的大肠息肉相关危险因素分析［J］.中华消化内镜杂志，2015，32（6）：406-408. ［6］张峰，王烨，贾楠，等.临床路径的国内外研究进展［J］.健康大视野，2013，21（11）：31-32.

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更新日期/Last Update: 2021-04-28