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目的观察临床路径应用于计划性剖宫产术的效果。方法将95例计划性剖宫产作为对照组实施传统的医疗护理管理,将110例计划性剖宫产作为路径组实施临床路径管理,比较2组孕产妇平均住院时间、平均住院费用、满意度及产妇并发症和新生儿并发症发生率。结果路径组住院时间较对照组明显缩短〔(7.25±1.45)vs(8.92±1.86)d,P<0.05〕,住院费用较对照组明显降低〔(5863.20±63.50)vs(7048.65±110.36)元,P<0.05〕;产妇满意度较对照组有所提高但差异无统计学意义(98.2%vs89.5%,P>0.05);产妇并发症发病率(8.18%vs8.42%,P>0.05)及新生儿并发症发生率与对照组相近(10.91%vs10.53%,P>0.05)。结论临床路径应用于剖宫产术可明显缩短住院时间、降低住院费用,使产妇满意度有所提高。
Objective To observe the effect of clinical path planning on planned cesarean section. Methods 95 cases of planned cesarean section as the control group to implement the traditional medical care management, the 110 cases of planned cesarean section as a path group to implement the clinical path management, compared two groups of average length of stay in maternal, average hospitalization costs, satisfaction Maternal complications and neonatal complications. Results Compared with the control group, the hospitalization time of the path group was significantly shorter than that of the control group 〔(7.25 ± 1.45) vs (8.92 ± 1.86) d, P <0.05〕. The cost of hospitalization was significantly lower than that of the control group 〔(5863.20 ± 63.50) vs (7048.65 ± 110.36) P <0.05]; maternal satisfaction than the control group increased but the difference was not statistically significant (98.2% vs89.5%, P> 0.05); maternal complications (8.18% vs 8.42%, P> 0.05) And the incidence of neonatal complications in the control group were similar (10.91% vs10.53%, P> 0.05). Conclusion The clinical pathway applied to cesarean section can shorten the length of hospital stay and reduce the cost of hospitalization, so that maternal satisfaction is improved.