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目的探讨显微喉镜下摘除声带息肉实施临床路径对医疗费用控制的效果。方法选取某院2008年-2012年间实施临床路径后的309例摘除声带息肉患者为路径组和291例实施临床路径前的患者为非路径组,对患者的住院时间、住院总费用、住院药品费用、术后满意度及术后并发症率进行了比较分析。结果路径组的住院时间、住院总费用、住院药品费均低于非路径组的相应指标,各相应指标间的差异均具有统计学意义(P<0.05)。路径组与非路径组比较,平均住院时间减少了1.3天,平均住院费用减少了207.30元,平均药品费减少了175.70元,患者的术后满意度略有提高,但并不具有统计学意义(P>0.05),术后并发症发生率差异亦不具有统计学意义(P>0.05)。结论对显微喉镜下摘除声带息肉实施临床路径管理可缩短住院时间、有效控制医疗费用支出、提高患者的术后满意度,对某院耳鼻喉科实施声带息肉治疗起到了规范医疗行为的作用。
Objective To investigate the effect of clinical path of vocal cord polyp removal under microlaryngoscope on medical cost control. Methods A total of 309 patients with vocal cord polyp removed from a hospital from 2008 to 2012 were enrolled in the path group and 291 patients before the clinical pathway were enrolled as nonpath group. The hospitalization time, total cost of hospitalization, hospitalization expenses , Postoperative satisfaction and postoperative complications were compared. Results The length of hospitalization, total cost of hospitalization and hospitalization cost in the path group were all lower than those in the non-path group, and the differences among the corresponding indexes were statistically significant (P <0.05). Compared with the non-route group, the average length of hospital stay decreased by 1.3 days, the average hospitalization cost decreased by 207.30 yuan, the average drug cost decreased by 175.70 yuan, and the postoperative satisfaction increased slightly, but it was not statistically significant P> 0.05), the incidence of postoperative complications was not statistically significant (P> 0.05). Conclusion The implementation of clinical management of vocal cord polyps under microlaryngoscope can shorten the length of hospital stay, effectively control the medical expenses and improve the patients’ satisfaction after operation. It plays a role in regulating the medical behaviors in the treatment of vocal cord polyps in otolaryngology department .