CAJ | 학술논문

目的：评价临床路径在腮腺多形性腺瘤手术治疗中的实施效果。方法：选择腮腺多形性腺瘤患者行腮腺浅叶切除或部分腮腺切除术的患者为研究对象，分为对照组与临床路径治疗组（CP组），对照组43例采用传统管理治疗模式，CP组34例采取临床路径管理治疗模式。对两组患者的住院时间、医疗费用、满意度、健康知识掌握度，以及并发症发生率等进行比较。结果：CP组患者的住院时间、医疗费用明显下降，患者满意度及健康知识掌握度均提高，与对照组比较差异均有统计学意义（P＜0.05）。而两组并发症发生率差异无统计学意义（P＞0.05）。结论：腮腺多形性腺瘤手术治疗的临床路径管理模式值得在临床推广应用。
목적：평개림상로경재시선다형성선류수술치료중적실시효과。방법：선택시선다형성선류환자행시선천협절제혹부분시선절제술적환자위연구대상，분위대조조여림상로경치료조（CP조），대조조43례채용전통관리치료모식，CP조34례채취림상로경관리치료모식。대량조환자적주원시간、의료비용、만의도、건강지식장악도，이급병발증발생솔등진행비교。결과：CP조환자적주원시간、의료비용명현하강，환자만의도급건강지식장악도균제고，여대조조비교차이균유통계학의의（P＜0.05）。이량조병발증발생솔차이무통계학의의（P＞0.05）。결론：시선다형성선류수술치료적림상로경관리모식치득재림상추엄응용。
Objective To analyze the influence of clinical pathways in surgical treatment for patients with pleomorphic adenoma of parotid gland.Methods Collecting all the cases with pleomorphic adenoma of parotid gland,then divide into the conventional therapy group(the control group,34 cases) and the clinical pathway therapy group(CP group,43 cases).Average hospital stay,hospital costs,clinical efficacy,patients’satisfaction and awareness of disease are comparative analyzed.Results Group CP patients hospitalization time,medical expenses decreased significantly,patient satisfaction and health knowledge mastering degree were improved,and the control group showed no significant differences(P<0.05).And the two group of complication rates were not statistically significant(P>0.05).Conclusion Clinical pathway in surgical treatment for patients with pleomorphic adenoma of parotid gland is effective and can be widely applied.