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目的探讨临床路径在输尿管结石经输尿管碎石取石术中的应用效果。方法采用回顾性调查方法,通过同期对照研究,对2013年实施与未实施临床路径的输尿管结石经输尿管碎石取石术患者的住院天数、术前住院天数、住院费用和药费等指标进行比较分析。结果路径组与对照组相比,平均住院日缩短1.72天,平均住院费用减少3012.47元,平均药费减少1613.32元,且差异均有统计学意义(P<0.05);术前平均住院日缩短1.00天,但差异无统计学意义(P>0.05)。结论实施临床路径后,可以缩短平均住院日,降低病种平均住院费用和平均药费。
Objective To explore the clinical application of ureteral lithotomy in the treatment of ureteral calculi. Methods A retrospective investigation was conducted to compare the length of hospitalization, length of preoperative hospitalization, cost of hospitalization and medical expenses for patients with ureteral calculi who underwent ureteral gravel lithotomy in 2013 with or without clinical pathways . Results Compared with the control group, the average length of hospitalization was 1.72 days shorter than that of the control group, the average hospitalization cost was reduced by 3012.47 yuan and the average drug cost was reduced by 1613.32 yuan, with significant difference (P <0.05); mean preoperative hospital stay was shortened 1.00 Day, but the difference was not statistically significant (P> 0.05). Conclusion The implementation of clinical pathway, you can shorten the average length of stay, reduce the average hospitalization costs and the average cost of medicine.