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目的:探讨临床路径在腮腺多形性腺瘤手术治疗中应用的意义。方法:选择63例腮腺多形性腺瘤接受手术治疗的住院病例。随机抽取34例按临床路径的流程进行治疗和护理(路径组),29例按传统常规程序进行治疗和护理(对照组),在住院天数、住院总费用、患者满意度及临床疗效方面进行分析和比较。结果:进入临床路径组平均住院天数由过去的(13.4±3.6)d下降到(6.2±1.8)d(P<0.05),平均住院费用由6050±451元下降至4100±362元(P<0.05),患者满意度由86.8%上升至95.4%,路径组与对照组比较除涎瘘发生率略高外,余无明显差异。结论:临床路径作为一种科学的医疗护理模式,可使患者获得最佳医疗护理服务,明显降低了住院费用,减少了住院天数,有效提高患者满意度。
Objective: To explore the clinical significance of the clinical pathway in the treatment of parotid pleomorphic adenoma. Methods: Sixty - three inpatients with parotid pleomorphic adenoma undergoing surgery were selected. A total of 34 cases were treated according to the clinical pathway (path group), 29 cases were treated and treated according to the traditional routine procedures (control group), and analyzed in the length of stay, total cost of hospitalization, patient satisfaction and clinical efficacy And compare. Results: The average length of stay in the clinical pathway group decreased from (13.4 ± 3.6) d to (6.2 ± 1.8) d (P <0.05), and the average hospitalization cost decreased from 6050 ± 451 yuan to 4100 ± 362 yuan (P0.05 ), Patient satisfaction increased from 86.8% to 95.4%, pathological group compared with the control group except for the incidence of salivary fistula slightly higher, I no significant difference. Conclusion: As a scientific medical care model, clinical pathway can provide patients with the best medical care services, significantly reduce hospitalization costs, reduce hospitalization days and effectively improve patient satisfaction.