两种植皮方式治疗大面积深度烧伤患者的经济学评价  

Comparison of cost between two ways of skin grafting in the treatment of patients with extensive deep burn

作　　者：林才[1,2] 陈更新[1] 张鹏[1] 卢才教[1] 徐建军[1] 罗旭[1] 刘政军[1] 

机构地区：[1]浙江温州医学院附属第一医院烧伤科,325000 [2]华南理工大学材料科学与工程学院,510641

出　　处：《中华烧伤杂志》2009年第4期286-288,共3页Chinese Journal of Burns

基　　金：浙江省科技计划项目（2007C33033）;温州市科技计划项目（Y20060217）

摘　　要：目的评价Meek植皮术和自体微粒皮混合大张异体皮移植（简称微粒皮移植）术治疗大面积深度烧伤患者的经济学意义。方法选择笔者单位大面积深度烧伤患者24例，按照随机数字表法分为Meek植皮组、微粒皮移植组，每组12例。在创面愈合时间、一次性专用敷料费用、住院总费用、后期康复费用方面进行统计学比较，初步分析不同移植方式的治疗效果与成本。结果Meek植皮组创面愈合时间、一次性专用敷料费用、住院总费用、后期康复费用分别为（14．4±1．9）d、（16590±521）元、（421628±145）元、（39571±225）元，微粒皮移植组上述指标依次为（25．6±4．2）d、（136441±356）元、（539527±686）元、（55853±794）元；组间比较差异均有统计学意义（P〈0．01）。结论在一定的烧伤面积范围内，Meek植皮术的治疗成本与效果明显优于微粒皮移植术。Objective To evaluate the economic significance of Meek skin grafting and automicro- grafting combined with large piece of allogenous skin （ mierografting in brief） in the treatment of patients with extensive deep burn. Methods Twenty-four patients with extensive deep burn admitted to the First Affiliated Hospital of Wenzhou Medical College were divided into Meek skin grafting group and mierografting group, with 12 patients in each group. Statistical comparison between Meek skin grafting group and micro- grafting group in respect of wound healing time, consumption of each special dressing , total cost of hospitalization, rehabilitation cost during convalescence was made. Then the cost and effect value was compared between two groups. Results The wound healing time, consumption of each special dressing, total cost of hospitalization and rehabilitation cost in Meek skin grafting group was （ 14.4 ± 1.9） d, ￥ （ 16 590 ± 521 ） , ￥ （421 628± 145） , ￥ （39 571 ±225 ） , respectively, and that in micrografting group was （25.6± 4.2）d, ￥ （136 441±356）, ￥ （539 526±686）, ￥ （55 853±794）, respectively. The difference between two groups were statistically significant （ P 〈 0.01 ）. Conclusions In a definite range of burn size, Meek skin grafting has a lower therapeutic cost and better therapeutic effects as compared with mierografting.

关 键 词：烧伤 微粒皮 Meek植皮 经济学评价 

分 类 号：R644[医药卫生—外科学]