CAJ | 학술논문

目的：探讨临床路径管理在小儿腹股沟疝的应用及效果。方法：将26例已实施临床路径管理的小儿腹股沟疝为路径组，20例未实施临床路径管理的小儿腹股沟疝作为对照组，对两组患儿的平均住院日、医疗费用、患儿及家属满意度、术后并发症及腹部切口感染等进行比较分析。结果：路径组平均住院时间、医疗费用、患儿及家属满意度等明显优于对照组，差异有统计学意义(P<0.05)；术后并发症发生率及腹部切口感染等与对照组比较，差异无统计学意义(P>0.05)。结论：实施临床路径管理能很好地规范医疗行为，有效控制医疗费用与平均住院日，保证医疗质量，提高患儿及家属满意度。
목적：탐토림상로경관리재소인복고구산적응용급효과。방법：장26례이실시림상로경관리적소인복고구산위로경조，20례미실시림상로경관리적소인복고구산작위대조조，대량조환인적평균주원일、의료비용、환인급가속만의도、술후병발증급복부절구감염등진행비교분석。결과：로경조평균주원시간、의료비용、환인급가속만의도등명현우우대조조，차이유통계학의의(P<0.05)；술후병발증발생솔급복부절구감염등여대조조비교，차이무통계학의의(P>0.05)。결론：실시림상로경관리능흔호지규범의료행위，유효공제의료비용여평균주원일，보증의료질량，제고환인급가속만의도。
Objective:To investigate the application and effect of clinical pathway management in children with inguinal hernia.Method:Selected 26 cases of pediatric inguinal hernia with clinical pathway management as the path group,and 20 cases of pediatric inguinal hernia without the implementation of clinical pathway management as the control group,the average length of hospitalization,medical cost,patients and family satisfaction,postoperative complications and abdominal incision infection of the two groups were comparative analysed.Result:The average length of stay,medical costs,patients and family satisfaction of the path group were significantly better than the control group,differences were statistically significant(P<0.05);The incidence of postoperative complications and abdominal incision infection compared with control group,there was no statistically significant difference(P>0.05).Conclusion:The implementation of clinical pathway management can standardize better the medical behavior,control medical costs and average length of hospitalization,ensure the quality of medical, improve the satisfaction of patients and their families.