CAJ | 학술논문

目的：评价急性轻症急性胰腺炎临床路径实施效果，对变异因素进行分析。方法：选取住院急性轻症急性胰腺炎患者为研究对象，分为临床路径组和对照组，对两组患者的住院天数、医疗费用、满意度进行比较，对临床路径组的变异因素进行分析。结果：临床路径组患者的住院天数、医疗费用较对照组明显下降，125例进入临床路径患者中117例完成临床路径（93．6％），8例因变异退出临床路径（6．4％），变异因素中以医生因素所致变异发生率最高（32.42％）。结论：急性轻症胰腺临床路径能缩短住院时间，降低医疗费用。在临床路径实施过程中出现变异是不可避免的，大多数变异并不影响临床路径的继续完成，但必须对可控制变异因素进行整改，促进临床路径的顺利实施和改进。
목적：평개급성경증급성이선염림상로경실시효과，대변이인소진행분석。방법：선취주원급성경증급성이선염환자위연구대상，분위림상로경조화대조조，대량조환자적주원천수、의료비용、만의도진행비교，대림상로경조적변이인소진행분석。결과：림상로경조환자적주원천수、의료비용교대조조명현하강，125례진입림상로경환자중117례완성림상로경（93．6％），8례인변이퇴출림상로경（6．4％），변이인소중이의생인소소치변이발생솔최고（32.42％）。결론：급성경증이선림상로경능축단주원시간，강저의료비용。재림상로경실시과정중출현변이시불가피면적，대다수변이병불영향림상로경적계속완성，단필수대가공제변이인소진행정개，촉진림상로경적순리실시화개진。
Objective :To evaluate effectiveness of clinical pathway in patients with mild acute pancreatitis .And to ana-lyze the causes of variance .Methods :We enrolled patients with mild acute pancreatitis for our research subjects ,and al-located these patients to the clinical pathway group and the control group .Length of hospitalization ,medical expense and the degree of satisfaction were compared between these two groups .And analyze the causes of variance for the clin-ical pathway group .Results:Patients in clinical pathway group had significantly decreased length of hospitalization and medical expenses .Among the 125 patients ,117 patients case had completed Clinical Pathway (93 .6% ) ,8 patients ter-minated pathway due to variation .Medical personnel factor is the very common in the causes of variance (32 .42% ) . Conclusion :The application of clinical pathway in patients with mild acute pancreatitis can reduce Length of hospitaliza-tion and medical expense .Variation is inevitable during the application of clinical pathway ,but most variation do not af-fect the completion of the path .The management of controllable variation must be strengthened ,so that the application of clinical pathway should be smooth going and make better .