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目的评估乳腺癌围手术期临床路径实施对住院日、住院费用及医疗质量的影响。方法制订乳腺癌围手术期中西医结合临床路径表,选择2004-2005年可手术的乳腺癌病人167例随机分为2组,临床路径组83例按路径表实施诊疗过程,对照组84例按传统方法完成治疗;同时筛选2003年符合临床路径纳入标准的病人74例,作为前后对照组,比较3组间的治疗效果。结果实施临床路径可降低住院费用(P<0.05),缩短住院天数(P<0.01),且3组间各项医疗质量指标均无差异(P>0.05)。结论乳腺癌临床路径可降低住院费用,缩短住院天数,确保医疗质量,值得推广应用。
Objective To assess the impact of perioperative clinical pathways on hospitalization, hospitalization and medical quality in breast cancer. Methods A total of 167 cases of breast cancer patients with operable breast cancer during 2004-2005 were enrolled in this study. One hundred and sixty-seven patients with breast cancer were randomly divided into two groups according to the pathological table. Eighty-four patients in the control group were treated according to the traditional method Methods The treatment was completed. At the same time, 74 patients who met the clinical criteria of inclusion in 2003 were selected as the control group before and after treatment, and the treatment effect was compared between the three groups. Results The implementation of clinical pathway could reduce the cost of hospitalization (P <0.05) and shorten the length of hospital stay (P <0.01). There was no significant difference in the medical quality between the three groups (P> 0.05). Conclusion The clinical pathway of breast cancer can reduce the cost of hospitalization, shorten the length of hospital stay, and ensure the quality of medical treatment, which is worth popularizing and applying.