临床路径在声带息肉手术治疗中的应用价值

发布时间：2018-11-07 14:54

【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。
[Abstract]:Objective: to investigate the effect of clinical pathway in the management of vocal cord polyp. Methods: the clinical data of patients with vocal cord polyps treated in otolaryngology and head and neck surgery in our hospital were collected and analyzed, including age, sex, and hospitalization days, one year before the implementation of the clinical pathway (non-path group) and one year after the implementation (the path group). The cost of hospitalization is the proportion of drugs. SPSS 19.0 software was used to compare the difference between the two groups with 蠂 2 test and independent sample t test. Results: there were 125 patients in the non-path group and 137 patients in the path group. There was no significant difference in age and sex composition between the two groups. The average hospitalization days of the two groups were (5.3 卤1.4) days and (5.1 卤0.9) days, respectively. The average hospitalization expenses were (7208.9 卤990.1) yuan and (7 420.5 卤685.7) yuan, respectively. There was no significant difference between the two groups. The percentage of drugs in non-pathway group and path group were (38.02 卤5.18)% and (35.53 卤5.58)%, respectively. Conclusion: although there are few positive results in this study, we also see the benefits of clinical pathway, which reduces the "randomness" of medical work and makes the treatment of the same disease more consistent. In addition, this study indicates that the diagnosis and treatment of vocal cord polyps in our hospital before the implementation of clinical pathway is quite reasonable.
【作者单位】：海军总医院全军耳鼻咽喉头颈外科中心;
【分类号】：R767.4

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