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目的对比结肠息肉患者在日间病房与住院病房中的治疗效果、患者满意度差别。方法收集我科2013年10月至2014年9月日间病房结肠息肉(病灶≤1.0 cm)患者100例与住院病房同类患者100例,两组患者均行肠镜下治疗。采集两组患者临床基本信息,统计住院时间、住院费用、服务满意率、手术并发症发生率、院内感染发生率、局部复发率、完整切除率,并运用t检验及χ2检验对比。结果两组患者临床基本信息差异无统计学意义,日间病房组较普通病房组的住院时间、住院费用、院内感染率低,服务满意率高,差异有统计学意义(P<0.01),两组患者病灶完整切除率、局部复发率、手术并发症发生率、院内感染率、术后局部复发率差异无统计学意义(P>0.05)。结论日间手术病房模式较住院病房模式治疗效果无差别,但可降低院内感染率、治疗费用,缩短治疗周期,提高患者治疗获益程度。
Objective To compare the therapeutic effects of colon polyp patients in daytime ward and inpatient ward, and the difference of patient satisfaction. Methods 100 cases of colon polyps (≤1.0 cm in size) and 100 patients of similar type in hospital ward were collected from October 2013 to September 2014 in our department. All patients underwent colonoscopy. The basic clinical information, hospitalization time, hospitalization cost, service satisfaction rate, incidence of complications, incidence of nosocomial infection, local recurrence rate and complete resection rate were collected and compared between the two groups by t test and χ2 test. Results There was no significant difference in basic clinical information between the two groups. There was a significant difference in hospitalization time, hospitalization cost and nosocomial infection rate, and satisfactory rate of service between daytime ward group and common ward group (P <0.01) There was no significant difference in complete resection rate, local recurrence rate, operative complication rate, nosocomial infection rate and postoperative local recurrence rate between the two groups (P> 0.05). Conclusion There is no difference between the operation modes of daytime ward and the mode of inpatient ward, but it can reduce the nosocomial infection rate, the cost of treatment, shorten the treatment period and improve the benefit of patients.