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目的探讨临床护理路径(CNP)在胆囊结石行腹腔镜胆囊切除术患者中的应用效果。方法选取抚州市第一人民医院2015年5月—2016年5月收治的胆囊结石患者120例,随机分为对照组和观察组,各60例。对照组患者采用常规护理,观察组患者采用CNP。比较两组患者术前住院时间、总住院时间、住院费用及抗生素使用时间、临床效果、护理满意度及并发症发生情况。结果观察组患者术前住院时间、总住院时间、抗生素使用时间短于对照组,住院费用低于对照组(P<0.05)。观察组患者显效率、有效率、护理满意度高于对照组,并发症发生率(1.67%)低于对照组(P<0.05)。结论 CNP在胆囊结石行腹腔镜胆囊切除术患者中的应用效果佳,可有效缩短患者住院时间,降低住院费用,还可降低并发症发生率。
Objective To investigate the clinical effect of clinical nursing pathway (CNP) in patients with cholecystolithiasis under laparoscopic cholecystectomy. Methods A total of 120 patients with gallstone in the First People’s Hospital of Fuzhou City from May 2015 to May 2016 were selected and randomly divided into control group and observation group, with 60 cases in each group. The control group of patients with conventional care, observation group patients with CNP. Preoperative hospital stay, total hospital stay, hospitalization costs, antibiotic use time, clinical outcome, nursing satisfaction and complications were compared between the two groups. Results In the observation group, the preoperative hospital stay, total hospital stay, antibiotic use time were shorter than those in the control group, and hospitalization costs were lower than those in the control group (P <0.05). Significant efficiency, effective rate and nursing satisfaction in observation group were higher than those in control group. Complication rate (1.67%) in observation group was lower than that in control group (P <0.05). Conclusion CNP is effective in patients with cholecystolithiasis undergoing laparoscopic cholecystectomy, which can shorten the hospitalization time, reduce hospitalization costs and reduce the incidence of complications.