改良临床路径在甲状腺结节手术治疗中应用体会.docVIP

改良临床路径在甲状腺结节手术治疗中应用体会 　　doi：10.3969/j.issn.1007-614x.2014.19.40 　　摘 要 目的：探讨改良临床路径在甲状腺结节手术治疗中的实际效果。方法：2012年4月-2013年4月收治甲状腺结节手术患者60例，随机分为对照组和观察组各30例，对照组采取常规的临床路径实施治疗，观察组患者采取改良的临床路径来实施治疗。比较两组在住院时间、等待手术时间、住院花费和术后并发症的差异。结果：术后，两组并发症差异无统计学意义（P0.05），而在总住院时间、等待手术时间、住院花费等指标的比较上，观察组的效果要明显优于对照组，两组比较差异有统计学意义（P0.05）。结论：甲状腺结节手术治疗中采取改良临床路径比传统的临床路径更为有效，值得在实践中大力推广和创新。 　　关键词 改良临床路径 甲状腺结节手术 应用体会 　　Application experience of the improved clinical pathway in the operation treatment of thyroid nodules 　　Zhang Weifeng 　　Department of general surgery，the Fourth Affiliated Hospital of Zhengzhou University，Henan 450044 　　Abstract Objective：To explore the effect of the improved clinical pathway in the operation treatment of thyroid nodules.Methods：60 cases with thyroid nodules who had the operation treatment were selected from April 2012 to April 2013.They were randomly divided into the control group and the observation group with 30 cases in each.The control group were given the clinical routine treatment.The observation group adopted the improved clinical pathway to treat.We compared the hospitalization time，waiting for the operation time，hospitalization expenses and the postoperative complication of the two groups.Results：After the operation，there was no significant difference in the complications of the two groups（P0.05）.The total hospitalization time，waiting for the operation time and the hospitalization cost index of the observation group were better than those of the control group.The two groups had significant difference（P0.05）.Conclusion：The improved clinical pathway in the treatment of thyroid nodule operation is more effective than the traditional clinical pathway，so it is worthy of promotion and innovation in practice. 　　Key words Improvement of clinical pathway；Operation of thyroid nodules；Application experience 　　随着生活水平的日益提高，甲状腺结节患者的数量呈现出增长的趋势，虽然目前没有数据表明和哪些因素有关联，但是日益增多的甲状腺结节手术例数确实是不争的事实，在当前的手术条件下，甲状腺结节手术已经归纳为非急性的普通外科手术[1]。一般的医院都针对手术的治疗将其纳入临床路径。我院在原有临床路径的基础上，结合医院实际情况，研究出一