局部和硬膜外麻醉方式下腹股沟疝无张力修补术的卫生经济学评价  

Cost-effectiveness analysis on local and epidural anaesthesia in tension-free herniorrhaphy.

作　　者：黄建[1] 刘永强[1] 谢伟[1] 张雷[1] 

机构地区：[1]重庆市中山医院疝疾病治疗中心,400013

出　　处：《中华疝和腹壁外科杂志（电子版）》2010年第1期34-36,共3页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：目的比较局部麻醉和硬膜外麻醉两种方式下腹股沟疝无张力修补术的医疗费用以及医疗资源的利用效率。方法将2006年3月至2008年10月间422例单侧腹股沟疝病例采用随机分组方式,比较两组的并发症、麻醉满意度、术后住院时间,术前、术中、术后费用及构成资料。结果两组术后并发症、住院时间比较差异有统计学意义(P<0.01),患者对麻醉技术满意率比较两组无差异,术中费用比较两组差异无统计学意义(P>0.05),术后的费用、总费用两组比较差异有统计学意义(P<0.01)。结论同硬膜外麻醉相比局部麻醉下腹股沟疝无张力修补术医疗费用更低,从而可提高医疗资源的利用效率。Objective To compare the cost of tension -free herniorrhaphy in the local anaesthesia and epidural anaesthesia. Methods A total of 422 unilateral inguinal hernia cases in our department from 2006 to 2008 were randomized into the local anaesthesia and epidural anaesthesia groups. Prospective compare the data in complications , gratification of anaesthesia , length of stay and construction of preoperative, operative and postoperative cost. Results The two groups have significant deviation in the postoperative complications , length of stay, recovery costs and total costs. The gratification of anaesthesia and intraoperative costs has no difference. Conclusions Compared with the epidural anaesthesia, not only tension - free herniorrhaphy in the local anaesthesia cut down costs, but also increase efficacy of medical resource.

关 键 词：疝 腹股沟 无张力疝修补术 局部麻醉 硬膜外麻醉 医疗费用 

分 类 号：R614[医药卫生—麻醉学]