Objective To investigate the application effect of clinical nursing path in the patients with fractures of tibia and fibula. Methods 80 patients who accepted surgical treatment of fractures of the tibia and fibula from January 2013 to January 2014 in the Department of Orthopaedic of the People's Hospital of Longhua New District of Shenzhen City were chosen as study objects. They were divided into experimental group and control group, 40 cases in each group. The experimental group was treated with"The nursing path with fractures of the tibia and fibula", in orthopedics nurs-ing care path, while the control group was treated with holistic nursing care in the traditional methods. The length of stay, hospitalization expense, occurrence rate of complication, patients' satisfaction and the mastering level of health knowledge in two groups were observed and compared. Results The average length of stay, occurrence rate of compli-cation, and hospitalization expense in the experimental group [(10.0±2.7) d, 7.5%, (21 139.8±7743.6) yuan] were less than those in the control group [(14.9±3.0) d, 25.0%, (28 513.3±7132.0) yuan] were less than those in the control group, the differences of two groups were statistically significant (P<0.05). Besides, the patients' satisfaction and mastering lev-el of health knowledge in the experimental group [(94.6±3.1)scores, (83.4±4.6) scores] were higher than those in the control group [(89.6±4.0)scores, (73.9±6.3) scores], the differences of two groups were statistically significant (P<0.05). Conclusion The clinical nursing path is more effective to reduce the length of stay, hospitalization expense and the oc-currence rate of complication. Meanwhile, it can improve the patients' satisfaction and mastery of health education knowledge, which is helpful to improve the quality of nursing and worthy to recommend its clinical use.%目的：探讨临床护理路径在外科胫腓骨骨折患者中的应用效果。方法选择2013年1月~2014年1月于广东省深圳市龙华新区人民医院骨外科住院并接受胫腓骨骨折治疗的患者80例为研究对象，将其随机分为实验组及对照组，每组各40例。实验组应用《骨伤科专病护理路径》中“胫腓骨骨折手术治疗护理路径”表对患者进行护理，对照组则应用传统的整体护理。观察并比较两组患者的住院时间、住院费用、并发症发生率、患者满意度及健康知识掌握程度5个方面情况。结果实验组患者平均住院时间、住院费用及并发症发生率[(10.0±2.7)d、(21139.8±7743.6)*、7.5%]少于对照组[(14.9±3.0)d、(28513.3±7132.0)*、25.0%]，差异均有统计学意义(P<0.05)；满意度[(94.6±3.1)分]、健康知识掌握程度[(83.4±4.6)分]均高于对照组[(89.6±4.0)分、(73.9±6.3)分]，差异均有统计学意义(P<0.05)。结论临床护理路径能够有效缩短患者的住院时间，减少住院费用及并发症的发生率，提高患者的满意度及健康知识掌握程度，进一步提高了护理质量，值得临床推广。
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