临床口腔医学杂志2026，Vol.42Issue(4)：217-220,4.DOI:10.3969/j.issn.1003-1634.2026.04.007
MDT联合临床路径改善低龄腭裂整复术围术期医疗质量的效果分析
Effect analysis of multidisciplinary team combined with structured clinical pathway on improving perioperative quality in young children undergoing cleft palate repair
摘要
Abstract
Objective:To evaluate the clinical efficacy of multidisciplinary team(MDT)collaboration combined with structured clinical pathways in improving perioperative medical quality for young children undergoing cleft palate repair sur-gery.Methods:A retrospective cohort study was conducted.Sixty-four children managed conventionally from May 2023 to May 2024 formed the control group,while 64 children managed with MDT combined with clinical pathways from June 2024 to September 2025 formed the intervention group.Comparisons were made between groups for preoperative separation anxiety(parental separation anxiety scale,PSAS),emergence delirium(pediatric anesthesia emergence delirium scale,PAED),early postoperative pain(face,legs,activity,cry,consolability scale,FLACC),postoperative comfort(COMFORT-behavioral scale,COMFORT-B),and family satisfaction.Results:The intervention group demonstrated significantly lower PSAS scores[1(1,2)vs 4(4,4)],PAED score[2(1,2)vs 3(3,4)],FLACC score(3.1±0.8 vs 5.8±0.6),and 24-hour postoperative COM-FORT-B score(7.5±1.6 vs 13.2±2.8)were significantly lower than the control group(all P<0.001).Family satisfaction was significantly higher in the intervention group than in the control group(95.2±2.3 vs 90.2±1.8,P<0.001).No serious ad-verse events occurred in either group.Conclusion:MDT combined with a structured clinical pathway effectively reduces peri-operative stress responses in young children undergoing cleft palate repair,improves clinical outcomes and patient experience,and holds value for clinical implementation.关键词
腭裂/儿童/围术期管理/多学科团队/临床路径/质量控制Key words
Cleft palate/Child/Perioperative management/Multidisciplinary team/Clinical pathway/Quality control分类
医药卫生引用本文复制引用
荀泽敏,吴宇飞,刘畑畑,张瑶,李海强,刘菲,沈蕾,张昊鹏..MDT联合临床路径改善低龄腭裂整复术围术期医疗质量的效果分析[J].临床口腔医学杂志,2026,42(4):217-220,4.基金项目
国家自然科学基金项目(82271231) （82271231）
