临床路径在老年白内障治疗中应用.docVIP

临床路径在老年白内障治疗中的应用 　　[摘要] 目的：探讨临床路径在老年白内障手术治疗中的应用及效果。方法：回顾性分析2009年1月～2010年12月我院收治的进行手术治疗的老年白内障患者的病历，共1 623例，将患者分为两组，研究组（临床路径组）815例，对照组（非临床路径组）808例。比较两组患者的平均住院时间、平均手术等候时间、平均住院费用。结果：研究组与对照组在住院时间、手术等候时间、住院费用上比较，差异均有统计学意义（P0.05或P0.01）。结论：我院对于老年白内障的治疗基本符合白内障临床路径的标准住院流程。 　　[关键词] 临床路径；老年；白内障 　　[中图分类号] R779.66 [文献标识码] B [文章编号] 1673-7210（2011）11（b）-165-02 　　 　　Application of clinical pathway in patients with age-related cataract 　　ZHANG Jing 　　The Center of Medical Security, PLA General Hospital, Beijing 100853, China 　　[Abstract] Objective: To study the application and effect of clinical pathway in patients with age-related cataract during the operation treatment. Methods: 1 623 cases patients from our hospital with age-related cataract who received surgical operations were chosen from January 2009 to December 2010 and divided into two groups with clinical pathway, the study group (clinical pathway group) was 815 cases and the control group (not clinical pathway group) was 808 cases. The length of hospital stay, waiting times in surgery, and charge in hospital were compared. Results: There were all significant differences between the study group and the control group in length of hospital stay, waiting times in surgery, and charge in hospital (P0.05 or P0.01). Conclusion: The treatment of age-related cataract in the general hospital of the PLA is basically accorded with the standard hospitalization process of clinical pathway in patients with age-related cataract. 　　[Key words] Clinical pathway; Age; Related cataract 　　 　　临床路径（clinical pathway，CP）是指医疗健康机构的一组多学科专业人员（包括医师、临床医学专家、护士以及医院管理者等）共同制订的、针对某一特定的疾病或手术的、标准化的照顾计划，其内容包括从患者入院到出院期间需要进行的检查、化验、医生和护士的说明、围术期所进行的处置、饮食指导、出院指导等大量信息，涉及的相关人员除医生、护士外，还有营养师、药剂师、护理助手以及患者本人，以计划表的形式并辅以形象的图标，使应用者对诊治计划一目了然[1-2]。 　　老年白内障是眼科常见疾病，是指晶状体混浊影响视力，致使患者的生活质量有所下降。由于白内障的发生是多因素共同作用而导致的综合结果，其病理变化多种多样，发病机制仍存在多种学说。虽然手术方式的不断进步为白内障的治疗提供了巨大的帮助，但是治愈率仍然远远低于发生率，因此药物的预防与治疗起到举足轻重的作用。随着白内障研究的不断深入，抑制其发生的药物和治疗的手术方式有机结合，将推动白内障治疗的发展[3-5]。为了提高治疗质量，提高患者的满意度及其生