计划性剖宫产实施临床路径的效果分析

目的 研究观察在计划性剖宫产中实施临床路径的临床效果.方法 选取2012年4月-2013年4月期间我院收治的被诊断为“子宫下段剖宫产术”与“足月妊娠”的50例孕妇作为观察组,另选取同期诊断相同的未采用临床路径的50例患者作为对照组.观察组孕妇实施临床路径模式,对照组孕妇采用传统的计划性剖宫产诊疗流程模式.结果 ①观察组术后并发症发生率为6.00％,对照组术后并发症发生率为8.00％,两组比较,差异无统计学意义（P＞0.05）.②观察组孕妇的总满意率为96.00％,而对照组孕妇的总满意率为82.00％,两组比较,差异显著有统计学意义（P＜0.05）.③观察组的治疗费显著高于对照组,两组比较,差异显著有统计学意义（P＜0.05）;而观察组的药费与床位费均显著低于对照组,两组比较,差异显著有统计学意义（P＜0.05）.④观察组的住院总费用与对照组比较,差异无统计学意义（p＞0.05）,而观察组的住院天数显著短于对照组,两组比较,差异显著有统计学意义（P＜0.05）.结论 计划性剖宫产实施临床路径有效缩短住院时间,减少了医疗费用,起到了提高患者满意度,规范医疗行为的作用.值得推广应用.

Analysis of The Effect of Planned Cesarean Section of The Clinical Pathway Implementation

Objective Study on clinical effect of planned caesarean section for the implementation of clinical pathway.Methods From 2012 April to2013 April period in our hospital was diagnosed as ＂lower uterine cesarean section＂ and ＂pregnant＂ in 50 pregnant women were selected as the observation group, the other the same diagnosis of 50 patients without clinical pathway group as control. To observe the clinical pathway implementation model group of pregnant women, pregnant women in the control group using the traditionalplanned cesarean section treatment process model.Results Theincidenee of complications was 6% in the patients in the observation group, the complication rate was 8% after surgery in the control group, the two groups, the difference was not statistically significant（P〉0.05）.The total satisfaction of pregnant women was 96%,while the control group of pregnant women total satisfaction rate of 82%,two group, significant difference was statistically significant（P〈0.05）.The observation group treatment was significantly higher than the control group, the two groups, significant difference was statistically significant （P〈0.05）;and the drug and bed charges in the observation group were significantly lower than those in the control group, the two groups, significant difference was statistically significant （P〈0.05）.The total cost of hospitalization were compared with control group, the difference was not statisticallysignificant （P 〉 0.05）, and the observation group and the length of hospital stay was significantly shorter than that in the control group,the two groups, significant difference was statistically significant （P〈0.05）. Conclusion Planned cesarean section effec-tively shorten thehospitalization time of implementation of clinical pathway, reduc-emedical costs, to improve the patients＇ satisfaction, standardizing medical behav-ior. It is worthy of popularization and application.