中文摘要：

目的：分析涂阳肺结核临床路径变异的因素，对可控性变异提出持续改进意见，提高临床路径实施的质量。方法对佛山市第四人民医院实施临床路径的涂阳肺结核变异病例进行回顾性分析，统计产生变异的因素。结果医务人员及医院系统因素占47.48％，疾病特异性因素占40.28％。结论通过优化医院管理，加强医生培训，提高医生对临床路径的认识，控制基础疾病，预防并发症，可以降低涂阳肺结核临床路径变异的发生率。

英文摘要：

Objective To analyze clinical path variation factors of smear-positive tuberculosis and put forward the controllable variation continuous improvement opinions for improving the quality of clinical pathway implementation. Methods The implementation of clinical pathway of Foshan City in the Fourth People′s Hhospital smear-positive pulmonary tuberculosis cases were retrospectively analyzed variable , statistical variation factors. Results Medical personnel and hospital system factors accounted for 47.48%, disease specific factors accounted for 40.28%. Conclusion Through the optimization of hospital management, strengthen the education of the doctor, improve doctors to the clinical pathway to know, control the basic diseases, prevent complications can reduce the smear-positive pulmonary tuberculosis variation of clinical path way.