CAJ | 학술논문

目的：探索在腹腔镜治疗输卵管妊娠中实施临床路径的可行性。方法将2012年10月～2013年4月我院收治的70例输卵管妊娠患者按不同管理方案随机均分为对照组和观察组，观察组采用临床路径进行围手术期管理，对照组常规管理模式，对两组患者的住院时间、住院费用、健康知识掌握程、满意度以及术后并发症进行统计学比较。结果观察组在住院时间以及住院费用方面均明显优于对照组（P<0.01）；观察组的健康知识掌握率（88.6%）显著高于对照组（68.6%）（P<0.05）；观察组满意度（97.1%）明显高于对照组（77.1%）（P<0.05）；观察组患者术后并发症发生率(8.6%)明显低于对照组(22.9%)（P<0.05）。结论对输卵管妊娠行腹腔镜治疗的患者采用临床路径模式能有效减少住院时间以及住院费用，提高患者满意度，降低并发症发生率，值得临床推广。
목적：탐색재복강경치료수란관임신중실시림상로경적가행성。방법장2012년10월～2013년4월아원수치적70례수란관임신환자안불동관리방안수궤균분위대조조화관찰조，관찰조채용림상로경진행위수술기관리，대조조상규관리모식，대량조환자적주원시간、주원비용、건강지식장악정、만의도이급술후병발증진행통계학비교。결과관찰조재주원시간이급주원비용방면균명현우우대조조（P<0.01）；관찰조적건강지식장악솔（88.6%）현저고우대조조（68.6%）（P<0.05）；관찰조만의도（97.1%）명현고우대조조（77.1%）（P<0.05）；관찰조환자술후병발증발생솔(8.6%)명현저우대조조(22.9%)（P<0.05）。결론대수란관임신행복강경치료적환자채용림상로경모식능유효감소주원시간이급주원비용，제고환자만의도，강저병발증발생솔，치득림상추엄。
Objectiv e To explore feasibility of clinical pathway in tubal pregnancy with laparoscopic surgery. Methods 70 cases patients with tubal pregnancy in our hospital from October 2012 to April 2013 were divided into observation group and control group according to different manage-ment program, comparative analysis were made on average length of stay , average medical costs, knowledge master, satisfaction and complications of two groups.Results The observation group was evidently superior to the control one in average length of stay , average medical costs(P<0.05),the rate of knowledge master of observation group (88.6%)is better than control group(97.1%), the sat-isfaction of observation group(97.1%)is better than control group (77.1%)(P<0.05),the complication of observation group (8.6%)was less than control group (22.9%) (P<0.05).Conclusions To take the clinical pathway to the tubal pregnancy patients with laparoscopic surgery can effectively shorten the length of stay, reduce the medical costs, improve patient satisfaction, reduce complications, de-serve the clinical expansion.