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目的:探讨临床路径方法在先天性唇裂手术单病种的运用,明确临床路径在唇裂患者治疗实施过程中的影响因素。方法:本文拟通过住院天数、住院总费用、术后相关并发症等影响因素(应变量)与2009年1月～2012年6月共598例唇裂患者中的临床路径管理组(266例)采取logistic回归分析并与常规治疗组(332例)进行对照,明确临床路径在先天性唇裂治疗实施过程中的重要影响因素。结果:在logistic回归分析中以上应变量(住院天数、住院总费用、术后相关并发症等影响因素为应变量)对临床路径组中的唇裂患者治愈影响较小,部分应变量对常规治疗组中的唇裂患者治愈影响较大,具有统计学意义。结论:通过本次研究发现,住院天数、住院总费用、术后并发症为其核心指标;临床路径应用于先天性唇裂,可以明显降低住院费用,缩短住院时间,减少术后并发症有明显的效果。
OBJECTIVE: To explore the application of clinical pathway in the treatment of single disease of congenital cleft lip, and to clarify the influencing factors of clinical pathway in the treatment of cleft lip patients. Methods: This paper intends to take the number of hospitalization days, the total cost of hospitalization, postoperative complications and other influencing factors (strain variables) and from January 2009 to June 2012 a total of 598 cases of cleft lip patients clinical path management group (266 cases) to take Logistic regression analysis was performed and compared with the conventional treatment group (332 cases), to identify the important influencing factors of clinical path in the implementation of congenital cleft lip treatment. Results: In the logistic regression analysis, the above variables (length of hospital stay, total cost of hospitalization, postoperative complications and other factors as the dependent variable) had little effect on the healing of cleft lip in clinical pathway group. Cleft lip in patients with greater impact, with statistical significance. Conclusion: Through this study, it is found that the number of days of hospitalization, the total cost of hospitalization and postoperative complications are the core indicators. The clinical pathway applied to congenital cleft lip can significantly reduce hospitalization costs, shorten the length of hospital stay, and reduce the postoperative complications effect.