發(fā)布時(shí)間：2018-11-13 19:13

【摘要】：目的以全程化管理理念,探索非晚期結(jié)腸癌的臨床路徑,以促進(jìn)結(jié)腸癌的規(guī)范化診療。方法以結(jié)腸癌治療指南為基礎(chǔ),將符合入徑管理的非晚期結(jié)腸癌從診斷到治療全過(guò)程納入路徑管理,設(shè)計(jì)結(jié)腸癌診療全程化臨床路徑,預(yù)期目標(biāo)完成路徑率(完成路徑者/入路徑者)≥70%,非預(yù)見(jiàn)內(nèi)的變異率(非預(yù)見(jiàn)內(nèi)的變異/入路徑者)10%。結(jié)果共收治96例新診的非晚期結(jié)腸癌患者,完成路徑率93.8%(90/96),變異率6.3%(6/96)。診斷與分期階段、根治性手術(shù)階段平均花費(fèi)時(shí)間分別為(16.7±16.9)d和(18.8±10.1)d。輔助化療階段平均住院時(shí)間為(1.04±0.9)d。手術(shù)住院的平均費(fèi)用為(40 166.6±11 450.5)元,藥品比例11%。輔助化療的平均費(fèi)用為(84 541.4±46 117.8)元。結(jié)論全程化管理非晚期結(jié)腸癌的臨床路徑獲得較高的路徑完成率,較低的變異率,較低的平均化療住院時(shí)間,較低的藥品比例,提示該路徑管理方法切實(shí)可行,值得推廣。
[Abstract]:Objective to explore the clinical pathway of non-advanced colon cancer in order to promote the standardized diagnosis and treatment of colon cancer. Methods based on the treatment guidelines of colon cancer, the whole process of diagnosis and treatment of non-advanced colon cancer was included in the path management, and the whole clinical path of diagnosis and treatment of colon cancer was designed. The expected goal completion path rate (completion path / entry path player) is 鈮，

本文編號(hào)：2330173