81例眼眶海绵状血管瘤住院费用分析  

Analysis on the hospitalization expenses of 81 orbital cavernous hemangioma patients

作　　者：葛轶睿[1] 魏锐利[2] 蔡季平[2] 李由[2] 

机构地区：[1]南京军区南京总医院眼科,南京医学硕士210002 [2]第二军医大学附属长征医院眼科,上海200003

出　　处：《医学研究生学报》2010年第1期63-66,共4页Journal of Medical Postgraduates

摘　　要：目的进行住院费用分析有助于降低医疗成本,文中研究上海某医院2002年1月至2007年7月间眼眶海绵状血管瘤手术患者住院费用及其影响因素。方法从临床诊治及社会经济学角度出发,对6年间眼眶海绵状血管瘤手术患者住院费用的影响因素进行单因素分析和逐步回归的多因素分析。结果6年间平均住院费用7071.4元,住院费用中位数7038.7元,住院费用构成中所占比例居前3位的是手术材料费、西药费、化验费分别占54.3%、13.3%和8.1%。以住院费用为因变量,先进行单因素回归分析,在此基础上进行多元逐步回归分析。结果发现,婚姻状况、患者来源、并发症情况、前路开眶术、既往治疗情况、眼球移位情况、住院年份、术前天数8项因素对海绵状血管瘤手术患者住院费用的影响有统计学意义(P<0.05)。结论影响眼眶海绵状血管瘤手术患者住院费用的因素众多,眼眶海绵状血管瘤手术患者住院费用的降低应采用综合性措施。Objective The analysis of hospitalization expenses contributes to effective measures for reducing medical costs. The authors investigated the hospitalization expenses and the influencing factors in orbital cavernous hemangioma （OCH） patients in Shanghai Changzheng Hospital. Methods In view of clinical diagnosis and treatment and social economics, we conducted a single factor analysis and a stepwise multiple linear regression analysis on the influencing factors of the hospitalization expenses of 81 OCH pa- tients from 2002 to 2007. Results The six-year hospitalization expenses of the OCH patients averaged RMB ￥ 7 071.4 and the median was RMB ￥7 038.7, with the costs of surgical materials （54.3%） , Western medicine （ 13.3% ） and laboratory examinations （8.1% ） as the top three figures. The single factor analysis and stepwise multiple linear regression analysis showed 8 factors to be statistically significant in influencing the hospitalization expenses of the OCH patients, namely, marital status, occupation, complications, anterior orbitotomy, previous treatment, proptosis, hospitalization year and preoperative hospital stay （ P 〈 0.05 ）. ConclusionThe hospitalization expenses of OCH patients are influenced by many factors, the reduction of which calls for comprehensive measures.

关 键 词：眼眶病 海绵状血管瘤 住院费用 多元逐步回归分析 

分 类 号：R739.72[医药卫生—肿瘤]