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Research of clinical pathway application in perioperative management of procedure for prolapse and hemorrhoids in patients with hemorrhoids |
GUO Minghao |
Department of Proctology, South District Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 102618, China |
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Abstract Objective To discuss the application of rational clinical pathway in the perioperative management of procedure for prolapse and hemorrhoids (PPH) in patients with hemorrhoids. Methods From January 2014 to December 2016, 200 patients underwent PPH therapy in the Department of Proctology, South District Guang'anmen Hospital, China Academy of Chinese Medical Sciences were divided into the study group and the control group according to the random number table, with 100 cases in each group. The study group applied the clinical pathway management and the control group applied the routine diagnosis and treatment. The safety, clinical efficacy, average length of hospital stay, average hospitalization cost and patient satisfaction were compared between the two groups. Results There were no significant differences in the safety and clinical efficacy between the two group (P > 0.05).The average hospital stay and the average hospitalization cost in the study group were lower than those of control group, the satisfaction rate in the study group was higher than that of control group, with highly statistically significant differences (P < 0.01). Conclusion Clinical pathway as a scientific medical care model applied in PPH of the perioperative management is practical and has certain scientific value and positive social significance. It can improve the level of diagnosis and treatment and is worthy of promotion.
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[1] 中华医学会外科学分会肛肠外科学组.《痔上黏膜环形切除钉合术(PPH)暂行规范》修订[J].中华胃肠外科杂志,2005,8(4):342.
[2] 张鹏.吻合器痔上黏膜环切术(PPH)治疗痔疮的应用分析[J].中国医药导刊,2016,18(5):441,443.
[3] Longo A. Treatment of haemorrhoids disease by reduction of mucosa and hemorrhoidal prolapse with a circular suturing device:a new procedure [J]. Rome,Italy Proceedings of 6th World Congress of Endoscpic Surgery,1998:777-784.
[4] 屈艳,赵君健,刘娟,等.疼痛护理对痔疮PPH术后患者疼痛影响[J].结直肠肛门外科,2016,22(S2):212-213.
[5] 郑双.提肛训练预防吻合器痔上黏膜环切术后并发症的作用[J]. 现代中西医结合杂志,2014,23(36):4083-4085.
[6] 曹秋锐,祝月英,段文志,等.痔上黏膜环切吻合联合自动痔疮套扎并消痔灵注射术治疗重度痔的临床研究[J].中国中西医结合外科杂志,2015,21(4):398-401.
[7] 胡洪铨,潘永梅.PPH术对Ⅲ~Ⅳ期痔患者疼痛程度及生活质量的影响[J].结直肠肛门外科,2015,21(2):106-108.
[8] 能克武,李静,董云玉,等.局部麻醉下行PPH术治疗重度内痔32例报道[J].中国普外基础与临床杂志,2013, 20(4):455-457.
[9] Oslen,CA. Building clinical pathway for a hospital based home care program [J]. Outreach,1993,14(3):1-3.
[10] 吴新宝,王曼维,孙林,等.临床路径在股骨于骨折和股骨粗隆间骨折手术治疗中的应用[J].中华医院管理杂志,2007,23(5):293-294.
[11] 中华医学会外科学分会结直肠肛门外科学组,中华中医药学会肛肠专业委员会,中国中西医结合学会结直肠肛门病专业委员会.痔临床诊治指南(2006版)[J].中华胃肠外科杂志,2006,9(5):461-463.
[12] 张新红.PPH术与外剥内扎术治疗环状混合痔的临床疗效及安全性比较[J].河北医学,2014,20(7):1148-1150.
[13] 贾勇珍.临床路径下PPH患者满意度的调查[J].世界最新医学信息文摘,2016,16(61):301-302.
[14] 王萌,洪阳春,李珍.3种术式治疗重度内痔疗效对比研究[J].甘肃中医药大学学报,2017,34(1):54-57.
[15] 万廷军.PPH在重度痔疮患者中的疗效分析[J].中国医学创新,2013,10(5):58-59.
[16] 高飞,李少冬.中医临床路径应用研究进展[J].中国医院,2016,20(9):78-80.
[17] 李明子.临床路径的基本概念及其应用[J].中华护理杂志,2010,45(1):59-61.
[18] 王丹,陈治水,张良辉,等.临床路径实施中医务人员满意度调查及影响因素分析[J].中国医院管理,2014,34(1):31-33.
[19] 赵红梅,赵越,邓芒,等.影响临床路径完成率因素分析与对策建议[J].中国医院管理,2015,35(5):27-29.
[20] 黄先涛.临床路径管理的发展与现状[J].中国病案,2014, 15(11):22-24. |
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