影响结节性甲状腺肿手术患者平均住院日因素初探  

Discussion on influence factors of average length of stay of nodule goiter surgery

作　　者：朱晓华[1] 毛建山[1] 王平[1] 蔡栋[1] 何晓华[1] 余华[1] 潘胜东[1] 张苏展[1] 

机构地区：[1]浙江大学医学院附属第二医院,浙江省杭州市解放路88号310009

出　　处：《中国医院》2008年第10期50-54,共5页Chinese Hospitals

摘　　要：目的:通过对可能影响结节性甲状腺肿手术患者平均住院日的因素进行筛选,针对筛选得到的关键因素分析、讨论和总结,为进一步缩短平均住院日工作提供思路和管理办法,从而促进医疗工作的持续改进。方法:采用系统抽样方法抽取我院结节性甲状腺肿手术患者718例,应用单因素分析、多元线性回归分析对影响结节性甲状腺肿手术患者平均住院日的相关因素进行统计分析。结果:结节性甲状腺肿手术患者平均住院日与性别、职业、手术操作类型无关,与年龄、住所地、伴发疾病、确诊天数、待手术天数、术后住院天数和新技术的采用等因素有关,其中,待手术天数对平均住院日的影响最大,其次为术后住院天数。结论:缩短结节性甲状腺肿手术患者平均住院日从缩短待手术天数、术后住院天数着手将会收到较好的效果。Objectives： To find and analysis influence factors of nodule goiter surgery average length of stay and shortenaverage length of stay to insure medical sustainable promotion. Methods： 718 cases of nodule goiter surgery by systematic samplingin affiliated the 2nd hospital of Zhejiang medical university were selected. Univariate analysis and multiple linear regressionanalysis were used to find influence factors of average length of stay. Results： Gender, vocation and operation type were linearindependence on nodule goiter surgery average length of stay. Age, living areas, concomitant disease, diagnosed days, preoperativelength of stay, postoperative length of stay and new technology was linear correction to nodule goiter surgery average length ofstay. Preoperative length of stay was the most important factors for average length of stay, the second was postoperative lengthof stay. Conclusions： Shorten preoperative length of stay and postoperative length of stay could effectively shorten nodule goitersurgery average length of stay.

关 键 词：结节性甲状腺肿 平均住院日 影响因素 

分 类 号：R581.3[医药卫生—内分泌] R61[医药卫生—内科学]