摘要：目的 "探讨基于疾病诊断相关分组(DRG)的股骨颈骨折治疗临床路径优化效果。方法 "选择我院2019年3月-2021年9月收治的187例股骨颈骨折患者作为优化前组，2022年1月-2023年4月收治的162例股骨颈骨折患者作为优化后组。优化前组患者采用常规临床路径，优化后组采用基于DRG进行优化后的临床路径，比较优化前组和优化后组的尿潴留重新安置率、尿管拔除时间、术后排便时间、功能锻炼开始时间、住院时间和住院花费。结果 "优化后组尿潴留重新安置率低于优化前组，尿管拔除时间、术后排便时间及功能锻炼开始时间均短于优化前组，差异有统计学意义(P<0.05)。优化后组住院时间短于优化前组，净住院费与总医疗花费低于优化前组，差异有统计学意义(P<0.05)。结论 "基于DRG进行股骨颈骨折治疗临床路径的优化可减少术后并发症，缩短住院时间，减少医疗花费。

    关键词：疾病诊断相关分组；股骨颈骨折；临床路径；住院时间；医疗花费

    中图分类号：R197 " " " " " " " " " " " " " " " " "文献标识码：A " " " " " " " " " " " " " " " " "DOI：10.3969/j.issn.1006-1959.2024.13.011

    文章编号：1006-1959(2024)13-0056-04

    Observation on the Optimization Effect of Clinical Pathway for Femoral Neck Fracture Treatment

    Based on DRG

    ZHANG Jin，WANG Wei

    (Computer Center of the First Affiliated Hospital of Zhejiang Chinese Medical University/Zhejiang Provincial Hospital

    of Traditional Chinese Medicine，Hangzhou 310018，Zhejiang，China)

    Abstract：Objective "To explore the optimization effect of clinical pathway for femoral neck fracture treatment based on diagnosis related group (DRG).Methods "A total of 187 patients with femoral neck fracture admitted to our hospital from March 2019 to September 2021 were selected as the pre-optimization group ......