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目的评价临床路径在新生儿呼吸窘迫综合征(NRDS)治疗中的应用价值。方法 83例NRDS患儿分别采用临床路径治疗(A组,40例)和传统治疗及护理模式(B组,43例)。比较两组患儿住院费用、住院天数、治疗效果及家长满意度等。结果 A组住院天数和住院费用均低于B组(P<0.05)。两组患儿常见并发症发生率比较无统计学差异(P>0.05)。A组治愈或好转率与B组相仿(97.5%vs.95.3%)(P>0.05)。A组家长总满意率高于B组(97.5%vs.88.4%)(P<0.05)。结论临床路径治疗NRDS效果好,费用低,家长满意度高。
Objective To evaluate the clinical value of clinical pathways in the treatment of neonatal respiratory distress syndrome (NRDS). Methods Eighty-three children with NRDS were enrolled in this study. The patients were treated with clinical pathology (group A, n = 40) and conventional treatment and nursing (group B, n = 43). The hospitalization costs, days of hospitalization, treatment effect and parents’ satisfaction were compared between the two groups. Results The hospitalization days and hospitalization costs in group A were lower than those in group B (P <0.05). There was no significant difference in the incidence of common complications between the two groups (P> 0.05). The rate of cure or improvement in group A was similar to that in group B (97.5% vs.95.3%) (P> 0.05). The total satisfaction rate of parents in group A was higher than that in group B (97.5% vs.88.4%) (P <0.05). Conclusion The clinical approach to treat NRDS is effective, inexpensive and highly satisfied with parents.