乳腺癌围手术期中西医结合临床路径实施分析

目的评估乳腺癌围手术期临床路径实施对住院日、住院费用及医疗质量的影响。方法制订乳腺癌围手术期中西医结合临床路径表,选择2004-2005年可手术的乳腺癌病人167例随机分为2组,临床路径组83例按路径表实施诊疗过程,对照组84例按传统方法完成治疗;同时筛选2003年符合临床路径纳入标准的病人74例,作为前后对照组,比较3组间的治疗效果。结果实施临床路径可降低住院费用(P<0.05),缩短住院天数(P<0.01),且3组间各项医疗质量指标均无差异(P>0.05)。结论乳腺癌临床路径可降低住院费用,缩短住院天数,确保医疗质量,值得推广应用。

Analysis of clinical pathway implementation for breast cancer in perioperative period combined with traditional Chinese and Western medicine

Objective To assess the effect of clinical pathway(CP)for breast cancer in perioperative period on the cost and time of hospitalization and quality of medicine. Methods The CP list was established for breast cancer in perioperative period combined with traditional Chinese and Western medicine. 167 operable patients were randomly divided into two groups from January 2004 to December 2005. 83 patients as CP group were managed on the clinical pathway. 84 patients as control group were managed according to traditional ways. At the same time,74 patients who admitted for this study in 2003 were used as another control historical control. Outcomes were compared with the three groups of patients. Results There was a statistically significant reduction in the mean time of hospitalization (P<0.01= and the mean cost per case(P<0.05=,but no differences were in quality of medicine(P >0.05) after implementation of the clinical pathway. Conclusion Implementation of clinical pathway of breast cancer can reduce the cost of hospitalization,shorten the time of hospitalization and guarantee the quality of medicine.