[1]李志超,龚艳萍,马洪升,等.临床路径在日间成人腹股沟疝的应用[J].中国卫生质量管理,2016,23(04):48-51.[doi:10.13912/j.cnki.chqm.2016.23.3.17]

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临床路径在日间成人腹股沟疝的应用

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 第23卷期数: 2016年04期页码: 48-51 栏目: 临床路径出版日期: 2016-05-28

作者:: 李志超；龚艳萍；马洪升；刘洋；宋应寒; 四川大学华西医院

关键词:: 临床路径; 腹股沟疝; 日间手术; 疗效; 医疗质量

Keywords:: Clinical Pathway; Inguinal Hernia; Daytime Surgery; Efficacy; Medical Quality

DOI:: 10.13912/j.cnki.chqm.2016.23.3.17

摘要:: 目的探讨日间成人腹股沟疝临床路径的实施及应用效果。方法通过前瞻性研究收集2010年1月-2011年1月期间收治的120例单侧腹股沟疝患者，随机分为日间临床路径组和住院手术组（各60例），分析手术效果、住院时间及医疗费用差异。结果(1)两组患者的手术时间、术中出血量、术后并发症（尿潴留、阴囊积液水肿、切口异物感、术后感染和复发）、术后下床活动时间和术后恢复上班时间比较差异无统计学意义（P>0.05）；(2)临床路径组患者的住院时间、住院总费、药费、护理费和床位费均显著低于住院手术组（P<0.05）；两组患者

Abstract:: ObjectiveTo explore the use and effect of Clinical Pathway on daytime surgery among adult patients with inguinal hernia.MethodA total of 120 inpatients with unilateral inguinal hernia were recruited prospectively in West China Hospital of Sichuan University from January 2010 to January 2011, and were randomly divided into clinical pathway group (CP) and inpatient surgery group (NCP) with 60 cases for each group. The surgical effect, length of stay, and medical cost were compared.Result（1）There was no significant difference between the two groups on operation time, blood loss during the operation, postoperative complications (urinary retention, scrotal edema fluid, incision foreign body sensation, postoperative infection and recurrence), postoperative leave bed activity time, and back to normal work time (P>0.05). （2）Compared with the NCP group, the length of stay, hospitalization expenses, medication cost, nursing care fee and bed fee were shorter or lower in the CP group (P<0.05). There was no significant difference between the two groups on preoperative examination fee, operation fee, hernia repair material fee, anesthesia and intraoperative monitoring fee (P>0.05).ConclusionThe effect of clinical pathway on daytime surgery among patients with inguinal hernia was similar with inpatient’s surgery. Furthermore, the clinical pathway can improve the efficiency with minimized medical risk under daytime surgery mode, which ensures the medical quality and safety.

参考文献/References:

［1］张峰,王烨,贾楠,等.临床路径的国内外研究进展［J］.中国循证医学杂志,2012, 12(6):626-630.

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更新日期/Last Update: 2016-05-28