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1、临床路径在急性轻症胰腺炎临床应用中初探徐桂华(厦门大学附属第一医院消化内科361003)【摘要】目的评价临床路径布急性轻症胰腺炎临床应用中的效果。方法评价急性轻症胰腺炎临床路径实施前后对住院总费用、药品费用、检查费用、其他费用、住院天数及满意率、治愈率的影响。结果实施临床路径后，住院药品费用及检查费用减少，住院天数缩短，非常满意率提高，而对控制住院总费用、其他费用及治愈率无明显影响。结论急性轻症胰腺炎临床路径的应用有助于减少药品费用及检查费用，缩短住院天数，提升患者及家属满意率，但无助于控制总费用、其他费用及提高治愈率。【关键词】临床
2、路径急性胰腺炎效果【中图分类号】R57【文献标识码】A【文章编号】2095-1752(2013)31-0087-02EffectstudyonthemanagementofpatientswithacutemildpancreatitisbyapplyingclinicalpathwayXUGui-hua(DepartmentofGastroenterology,TheFirstAffiliatedHospitalofXiamenUniversity,Xiamen,FujianProvince,361003,China)【Abstra
3、ct】Objective：Tostudytheeffectonthemanagementofpatientswithacutemildpancreatitisbyapplyingclinicalpathway.METHODSThetotalhospitalizationexpenses,drugexpenses,examinationexpenses,otherexpenses,averagehospitalizationdays,satisfactiondegreeofpatientsandthecureratewerecompar
4、edbetweenthegroupwiththeapplicationofclinicalpathwayandthegroupwithoutapplicationinpatientswithacutemildpancreatitis.ResultsJnthegroupwiththeapplicationofclinicalpathway,thedrugexpenses,examinationexpenses,averagehospitalizationdaysreduced(P<0.05)；Andthesatisfactiondegr
5、eeofpatientsincreased(P<0.05)；But,therewasnodifferenceinotherexpensesandthecureratebetweenthegroupwiththeapplicationofclinicalpathwayandthegroupwithoutapplication.(P>0.05).ConclusionTheclinicalpathwayappliedtothepatientswithacutemildpancreatitishelpstoreducedrugexpenses
6、andexaminationexpenses,toshortaveragehospitalizationdays,toimprovethesatisfactiondegreeofpatients.Butitdoesnothelptocontrolthetotalhospitalizationexpenses,otherexpensesandtoimprovethecurerate.【Keywords】ClinicalpathwayAcutemildpancreatitisEffect我院消化内科于2011-01-01起实行急性轻症胰腺
7、炎临床路径，本文通过收集入住我院消化内科确诊为急性轻症胰腺炎患者相关资料，通过比较临床路径实行前后2年对临床诊治过程的影响，初步探讨临床路径对急性轻症胰腺炎诊治过程的影响。1资料与方法1.1一般性资料将2009-1-1至2010-12-31实施临床路径前的74例患者作为实施前组，男53例、女21例，年龄21〜89(45.4±14.9)岁。将2011-1-1至2012-12-31实施临床路径后的109例作为实施后组，男76例、女性33例，年龄20〜83岁(36.3±14.8)岁，性别及年龄差异无显著性(P〉0
8、.05,见表1)。纳入标准:患者均符合《临床治疗指南一消化系统疾病分册》［1】提出的轻症急性胰腺炎的临床诊断及分级标准，进而评估发病原因：胆源性、洒精性、高脂血症性、其他(感染、结缔组织病、妊娠等)；排除标准：急性肠梗阻
