【摘要】 目的:探讨电子喉镜下摘除声带息肉实施临床路径对控制医疗费用的效果,为临床治疗声带息肉实施临床路径管理提供循证医学依据。方法:将实施电子喉镜下摘除声带息肉的66例患者随机分为临床路径管理组(临床路径组)和非临床路径管理组(非临床路径组),各33例,比较其住院总费用、住院药品费用、住院时间、患者的满意度。结果:临床路径组的平均住院费用、平均药品费用、平均住院时间及患者满意度分别为(2530.10±308.08)元、(595.17±249.93)元、(4.33±1.32)d、(94.03±2.66)%,而非临床路径组分别为(2967.44±386.63)元、(970.91±347.71)元、(5.36±1.32)d、(88.61±3.94)%,4项指标两组之间比较均有统计学意义(P<0.05)。临床路径组与非临床路径组比较,平均住院费用减少了437.30元,平均药品费减少了375.77元,平均住院时间减少了1.03d,患者的满意度提高了5.42%。结论:电子喉镜下摘除声带息肉实施临床路径管理,可明显减少住院费用、药品费用和缩短住院时间,能有效控制医疗费用、提高患者及家属的满意度,为该病的规范化治疗提供了依据。更多还原

【Abstract】 OBJECTIVE:To investigate the effects of medical cost control in 66 cases of vocal cord polyp resection under electronic laryngoscope by clinical pathway,and to provide evidence-based medicine reference for clinical treatment for vocal cord polyp. METHODS:66 patients undergoing vocal cord polyp resection under electronic laryngoscope were randomized into clinical pathway management group (clinical pathway group) and non-clinical pathway management group (non-clinical pathway group) with 33 cases in each group. Average hospitalization expense,drug cost,the length of hospitalization stay and satisfaction degree of patients were compared between 2 groups. RESULTS:Average hospitalization expense,drug cost,the length of hospitalization stay and satisfaction degree of patients were(2 530.1±308.08)yuan,(595.14±49.9)yuan,(4.33±1.32)d,(94.03±2.66)% in clinical pathway group;(2 967.4±386.63)yuan,(970.91±347.7)yuan,(5.36±1.32)d and(88.61±3.94)% in non-clinical pathway group. There was statistical significance in 4 indexes between 2 groups (P<0.05). Compared with non-clinical pathway group,average hospitalization expense,drug cost and the length of hospitalization stay decreased by 437.3 yuan,375.77 yuan and 1.03 d,and satisfaction degree of patients increased by 5.42% in clinical pathway group. CONCLUSIONS:Application of clinical pathway in vocal cord polyp resection under electronic laryngoscope not only can shorten the length of hospitalization stay,cut down drug cost and hospitalization expense,but also control medical expense effectively and heighten satisfaction degree of patients and their family. It provides reference for standardized treatment of vocal cord polyp.更多还原