山西医科大学学报2012,Vol.43Issue(5):382-385,4.DOI:10.3969/J.ISSN.1007-6611.2012.05.017
子宫平滑肌瘤临床路径实施的效果分析
Efficacy of clinical pathway for surgery of uterine leiomyomas
吴金芳 1姜伶俐 1张蓉 1米桂兰 1傅宏1
作者信息
- 1. 上海市浦东新区周浦医院妇产科,上海,201318
- 折叠
摘要
Abstract
Objective To evaluate the clinical application of clinical pathway tried out by the Ministry of Public Health in the hysterectomy for patients with uterine leiomyoma. Methods Forty-eight patients receiving clinical pathway in the hysterectomy for u-terine leiomyomas and forty-five patients with non-clinical pathway ( control group ) were chosen. The time of hospitalization, various medical care costs, coefficient of variation and constituent ratio of different parameters, patient s satisfaction degree and the complications after operation were analyzed and compared between two groups. Results The hospitalized day and total medical care costs in pathway group were less than those in control group( P = 0. 000 1 ). In pathway group, the drug costs,hospitalized costs, nursing costs were significantly lower than those in control group( P =0.000 1 ). Compared with control group,the coefficient of variation in pathway group was decreased, and the patient s satisfactory degree was increased, but there was no obvious difference about complications after operation. Conclusion Clinical pathway applied in our hospital standardizes the medical treatment in uterine leiomyoma patients receiving hysterectomy.关键词
临床路径/子宫平滑肌瘤/全子宫切除术/医疗费用/满意度Key words
clinical pathway/uterine leiomyoma/hysterectomy/medical care cost/satisfaction degree分类
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吴金芳,姜伶俐,张蓉,米桂兰,傅宏..子宫平滑肌瘤临床路径实施的效果分析[J].山西医科大学学报,2012,43(5):382-385,4.