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目的回顾分析我院实施巩膜扣带术临床路径前后各1年的临床资料,评价临床路径在该类手术干预的可行性。方法以2010年1月～2010年12月因孔源性视网膜脱离在我院行巩膜扣带术治疗进入临床路径干预的患者76例为研究对象(A组),以2009年1月～2009年12月因同样疾病治疗未采用临床路径干预的71例患者为对照组(B组)。分析两组的术前工作日、疗效、平均住院日、平均费用、患者满意度等指标。结果临床路径干预组(A组)平均术前工作日(2.1±1.5)d,平均住院日(7.5±2.1)d,平均费用(2130.6±178.5)元,对照组(B组)平均术前工作日,(3.5±1.5)d,平均住院日(9.5±3.6)d,平均费用(3015.8±215.2)元,结果经统计学分析差异有统计学意义。两组疗效及患者满意度比较差异没有统计学意义。结论巩膜扣带术临床路径实际运行中具有缩短术前工作日及住院时间,节约费用的优点。实施临床路径不会降低手术质量和治疗效果及患者满意度。
Objective To retrospectively analyze the clinical data of 1 year before and after the implementation of scleral buckling in our hospital to evaluate the feasibility of clinical pathology in such surgical intervention. Methods From January 2010 to December 2010, 76 cases of patients with rhegmatogenous retinal detachment undergoing scleral buckling in our hospital who were involved in the clinical pathway intervention were enrolled in this study (group A) In December, 71 patients who did not receive clinical intervention because of the same disease were treated as control group (group B). Preoperative workday, efficacy, average length of stay, average cost and patient satisfaction were analyzed. Results The average preoperative day (2.1 ± 1.5) days, mean hospital stay (7.5 ± 2.1 days), mean cost (2130.6 ± 178.5) yuan in the clinical pathway intervention group (A group) and mean preoperative work in the control group Day, (3.5 ± 1.5) d, average length of hospital stay (9.5 ± 3.6) d, average cost (3015.8 ± 215.2) yuan, the results of the statistical analysis of the difference was statistically significant. There was no significant difference between the two groups in efficacy and patient satisfaction. Conclusions The clinical operation of scleral buckling has the advantages of shortening the preoperative day and hospitalization time and saving the cost. Implementing a clinical pathway does not reduce the quality of surgery and the effectiveness of treatment and patient satisfaction.