单纯子宫肌瘤手术治疗住院费用及其影响因素分析  

An analysis of medical expense and influencing factors of inpatients with simple surgical treatment of uterine leiomyoma

作　　者：黄琦[1] 潘海花[1] 

机构地区：[1]广西壮族自治区人民医院,南宁市530021

出　　处：《中国医院统计》2010年第1期41-43,共3页Chinese Journal of Hospital Statistics

摘　　要：目的探讨控制子宫肌瘤手术患者住院医疗费用增长相关因素。方法随机选择某三级甲等综合医院2006--2008年子宫肌瘤手术住院患者300例为研究对象，利用SPSS统计软件进行单因素方差分析及多元线性逐步回归方程，对单纯子宫肌瘤手术患者住院费用及其影响因素进行分析。结果3年住院平均费用有逐年增高趋势（F=22．44，P〈0．01），平均住院日、术式及药品比例是影响次均住院费用的主要因素（P〈0．01）。结论缩短住院天数和降低药费仍然是控制住院费用增长的有效途径，建议科学研制和实施临床路径，逐步建立适合我国国情的DRGs预付费体桑．Objective To investigate the control of surgical patients with uterine leiomyoma growth of medical expenses related factors. Methods Randomly select a three-level general hospitals from 2006 to 2008 Hysteromyoma 300 cases of surgical patients as the research object, the use of SPSS statistical software for one-way ANOVA and multiple linear stepwise regression equation for a simple surgery in patients with uterine fibroids hospitalization costs and their impact factors for analysis. Results Three-year average cost of hospitalization has increased year-on-year trend （ F = 22. 44, P 〈 0.01 ）, the average length of stay, surgical procedures and drugs that affect the proportion of times are a major factor in hospitalization costs （P 〈0.01 ）. Conclusion Shorten the length of hospital stay and reduce hospital medication to control costs is still an effective way of growth. It is strongly recommended that a scientific clinical pathway should be implemented and DRGs pre-paid system suitable for Chinese conditions should be established gradually.

关 键 词：子宫肌瘤 手术治疗 住院费用 影响因素 

分 类 号：R195.1[医药卫生—卫生统计学]