摘要
目的研究临床路径对人工髋关节置换术的影响。方法选取50例行人工髋关节置换术的患者,对照组23例采用传统治疗方式;实验组27例采用临床路径进行标准化治疗。对2组术后1周和3个月的Harris评分、并发症情况、平均住院天数和住院费用等进行比较和统计学分析。结果实验组术后并发症、住院天数和住院费用均明显低于对照组,术后1周Harris评分明显高于对照组,差异有统计学意义(P< 0．05)。结论临床路径通过实现诊疗标准化,不但能有效地降低住院天数和住院费用,而且能明显减少术后并发症,迅速改善术后人工关节功能,从而有效地提高医疗质量。
Objective To study the effects of the clinical pathway on hip arthroplasty. Methods Fifty patients with hip arthroplasty were selected. Twenty-three cases in the control group were treated with traditional methods, and 27 cases in the experimental group were applied with the clinical pathway for standardized treatment. Any differences in Harris scores, hospital costs and days in postoperative care at 1 week and 3 months were compared statistically between the two groups. Results Complications,hospital costs and average length of stay in postoperative care were significantly lower in the experimental group than among the controls. The Harris scores in postoperative week 1 were significantly higher in the experimental group than among the controls. Conclusion The clinical pathway using standard diagnosis and treatment can not only decrease hospital costs and average length of stay, it can also limit postoperative complications and quickly improve joint function, giving better quality medical care.
出处
《中华物理医学与康复杂志》
CAS
CSCD
北大核心
2006年第5期330-332,共3页
Chinese Journal of Physical Medicine and Rehabilitation
