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目的分析输尿管结石采用临床路径模式与非临床路径模式治疗的相关指标。方法收集2013年9月电子病历实施后至2014年8月收治输尿管结石98例。临床路径模式治疗45例,非临床路径治疗53例。从术前待床日、平均住院日、住院总费用、药占比、抗生素比进行对比分析。结果两种模式治疗输尿管结石在术前待床日、平均住院日、住院总费用、药占比、抗生素比各指标比较无统计学意义(P>0.05)。结论临床路径单病种诊疗模式已从根本上改变并规范了医疗行为,使医疗服务工作趋向专业化方向发展。
Objective To analyze the related indexes of ureteral calculi treated with clinical pathway model and non-clinical pathway model. Methods A total of 98 cases of ureteral calculi were collected from September 2013 to October 2014 after electronic medical records were administered. 45 cases were treated by clinical pathway model and 53 cases were treated by non-clinical pathway. From the bedtime before surgery, the average hospital stay, the total cost of hospitalization, the proportion of drugs, antibiotics than the comparative analysis. Results There was no significant difference between the two modes in treating ureteral calculi before bedtime, average length of stay, total cost of hospitalization, proportion of medications and antibiotics in each group (P> 0.05). Conclusion The clinic pathological diagnosis and treatment mode has fundamentally changed and standardized the medical behavior, and the medical service work tends to develop in the specialization direction.