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目的分析实施临床路径对术前平均住院日的影响,探讨缩短平均住院日的可行措施。方法将2010年3月-2013年12月的10个病种的出院病人作为路径组,将2006年5月-2010年2月10个病种的出院病人作为对照组,比较两组术前平均住院日是否不同,采用spss20.0统计软件进行数据处理。临床路径组与对照组采用秩和检验作对比分析。结果临床路径组外科10个病种术前住院日有7个病种明显缩短(P<0.05);有3个病种因为自身特点下降不明显。结论实施临床路径后术前住院日可以缩短,可进一步缩短平均住院日。
Objective To analyze the impact of clinical pathology on the average length of stay before surgery and to explore possible measures to shorten the average length of stay. Methods The discharged patients of 10 diseases from March 2010 to December 2013 were taken as the path group, and the discharged patients of 10 diseases from May 2006 to February 2010 were taken as the control group. The mean preoperative Hospitalization date is different, using spss20.0 statistical software for data processing. Clinical pathology group and control group using rank sum test for comparative analysis. Results In the clinical pathology group, there were 7 kinds of diseases in 10 kinds of inpatients shortened significantly before operation (P <0.05). There were no obvious decrease in 3 kinds of diseases because of their own characteristics. Conclusion The implementation of clinical pathway can shorten the length of preoperative hospital stay, which can further shorten the average length of stay.