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目的探讨我区肝囊型包虫病临床路径的实施经验。方法针对伊犁州地区包虫病定点医院,将已实施临床路径管理的肝囊型包虫病手术患者60例设为路径组,未实施临床路径管理的肝囊型包虫病手术患者60例设为对照组,比较两组住院天数、术前准备天数、术后恢复天数、住院费用、国家包虫病救治项目实际报销费用、国家医保报销费用、零支付人数、患者满意度。结果与对照组比较,路径组患者平均住院天数缩短,住院费减少,术后恢复较快,国家报销后患者零支付比例提高,患者满意度提高,随访率也相应提高(P<0.05)。结论伊犁州地区实施肝囊型包虫病临床路径,可规范肝囊型包虫病诊疗模式,减少术后并发症,缩短住院时间,加快术后恢复,减少住院费用,值得推广。
Objective To investigate the clinical experience of hepatic cystic echinococcosis in our district. Methods According to the designated hospital of hydatid disease in Yili Prefecture, 60 cases of hepatic cystic echinococcosis patients who had undergone clinical path management were enrolled as the path group, 60 cases of hepatic cystic echinococcosis patients without clinical path management As the control group. The days of hospitalization, days of preoperative preparation, days of postoperative recovery, hospitalization expenses, actual reimbursement expenses of national hydatid disease treatment items, national medical insurance reimbursement expenses, zero payment number and patient satisfaction were compared. Results Compared with the control group, the average hospitalization days of patients in the pathological group were shortened, the hospitalization expenses were reduced, the postoperative recovery was faster, the proportion of patients paying zero after the national reimbursement was increased, the satisfaction of the patients was improved, and the follow-up rate also increased accordingly (P <0.05). Conclusion The clinical path of hepatic cystic echinococcosis is implemented in Yili Prefecture. It can regulate the diagnosis and treatment of hepatic cystic echinococcosis, reduce postoperative complications, shorten the length of hospital stay, speed up postoperative recovery and reduce hospitalization cost.