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目的:探讨电子结肠镜下治疗大肠息肉实施临床路径对医药费用控制的效果,为临床治疗大肠息肉实施临床路径管理提供循证医学证据。方法:根据入选标准,将大肠息肉患者121例随机分为临床路径组(n=69)与非临床路径组(n=52),比较2组电子结肠镜下大肠息肉高频电凝电切术的相关费用及患者满意度。结果:临床路径组的住院总费用、药品费用和手术费用分别为(3871.26±802.30)元、(344.61±105.13)元和(412.64±73.46)元,非临床路径组的住院总费用、药品费用和手术费用分别为(4384.38±1040.36)元、(526.95±162.40)元和(496.78±133.70)元,2组比较差异均有统计学意义(P<0.05或P<0.01)。与非临床路径组比较,临床路径组平均住院时间和住院床日费用均明显减少(P<0.01),分别减少了1.98d和19.45元,患者的满意度明显提高(P<0.01)。结论:电子结肠镜下大肠息肉高频电凝电切术实施临床路径管理能够改善医疗质量,缩短了患者住院时间,减少其住院费用,更好地控制医药费用,提高了患者对医疗质量的满意度。
OBJECTIVE: To explore the effect of electronic colonoscopy in the treatment of colorectal polyps on the medical cost control and to provide evidence-based medical evidence for the clinical management of colorectal polyps. Methods: According to the inclusion criteria, 121 patients with colorectal polyps were randomly divided into clinical pathology group (n = 69) and non-clinical pathology group (n = 52). Two groups of colonoscopic polyp electrosurgical excision Related costs and patient satisfaction. Results: The total cost of hospitalization, drug cost and operation cost of the clinical pathway group were (3871.26 ± 802.30) yuan, (344.61 ± 105.13) yuan and (412.64 ± 73.46) yuan, respectively. The total cost of hospitalization, The operative costs were (4384.38 ± 1040.36) yuan, (526.95 ± 162.40) yuan and (496.78 ± 133.70) yuan, respectively. There was significant difference between the two groups (P <0.05 or P <0.01). Compared with the non-clinical pathological group, the average length of hospital stay and bed-hospital cost in the clinical pathway group were significantly decreased (P <0.01), decreased by 1.98d and 19.45yuan, respectively, and the patient satisfaction was significantly improved (P <0.01). Conclusion: The implementation of clinical pathology with colonoscopic polyp electrosurgical excision of colon polyp can improve the quality of medical treatment, shorten the hospitalization time, reduce the cost of hospitalization, better control the medical cost and improve the patients’ satisfaction with the medical quality degree.