摘要
目的:探讨临床路径用于声带息肉住院流程管理的效果。方法:收集并分析临床路径实施前1年(非路径组)和实施后1年(路径组)在我院耳鼻喉头颈外科住院治疗的声带息肉患者的临床资料,包括年龄、性别、住院日、住院费用、药占比。采用SPSS 19.0软件,以χ2检验及独立样本t检验比较两组差异。结果:非路径组患者共125例,路径组患者共137例,两组患者的年龄、性别构成差异无统计学意义。两组的平均住院日分别为(5.3±1.4)d和(5.1±0.9)d,平均住院费用分别为(7208.9±990.1)元和(7 420.5±685.7)元,统计分析显示差异无统计学意义。非路径组和路径组药占比分别为(38.02±5.18)%、(35.53±5.58)%,二者差异有统计学意义。结论:尽管本研究所得到的阳性结果较少,但我们同样看到了临床路径带来的益处,它减少了医疗工作的"随意性",使得同种疾病的治疗过程更加一致。此外,本研究表明我院耳鼻喉头颈外科在临床路径实施前,对声带息肉的诊疗已颇为规范合理。
Objective：To evaluate the effect of clinical pathway on the management of patients with vocal cord polyps treated with surgery. Method.. The clinical data of patients treated with surgery for vocal cord polypus in the ENT Department of Navy General Hospital was retrospectively collected. These patients were inpatient one year before or after the utilization of clinical pathway for vocal cord polyps, and thus were divided into two groups accordingly. The parameters compared were as follows： age, gender, duration of hospitalization, total cost and drug proportion. SPSS 19.0 was used for statistical analysis, including X^2test and Student＇s t-test. Result.. There were 125 and 137 patients in the non-clinical pathway group and clinical pathway group respectively, and no signif- icant difference of age or gender was noticed between the two groups. Average duration of hospitalization was （5.3±1.4） days and （5. l±0.9） days for the non-clinical pathway group and the clinical pathway group, while the total costfor the two groups was （7 208.9±990.1） yuan and （7 420.5±685.7） yuan, respectively. While no significant difference was noticed between the two groups considering average duration of hospitalization and total cost, the clinical pathway group had a significantly lower drug proportion than the non-clinical pathway group （35.53 ±%±5. 58% vs 38.02%±5.18%）. Conclusion：Due to our efficient and productive medical practice before clinical pathway was utilized, very limited positive results were acquired in this study. But we can still conclude that clinical pathway can be a useful tool, by reducing arbitrary medical activities and bringing more similar out- comes to patients with the same diagnosis.
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
北大核心
2014年第18期1397-1399,共3页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
关键词
临床路径
声带息肉
clinical pathway
vocal cord polypus
