恶性肿瘤患者住院治疗与日间化疗多因素对比分析  

In patients with Malignant TumorTreated with Chemotherapy Day Multivariate Analysis of Contrast

作　　者：沈丽[1] 王倩之[1] 黄炼[1] 林劲冠[1] 

机构地区：[1]中南大学湘雅医学院附属肿瘤医院,湖南长沙410013

出　　处：《世界最新医学信息文摘》2013年第5期5-6,共2页World Latest Medicine Information Electronic Version

摘　　要：目的探讨恶性肿瘤化疗新模式，通过增加床位周转，缓解目前恶性肿瘤患者住院难，住院贵的问题，节省医疗开支。方法统计湖南省肿瘤医院2011年1月至2011年12月接受日间化疗患者（n=445）的治疗费用、住院时间及化疗相关不良反应的发生情况，以同期接受普通化疗的患者（n=453）作为对照组。结果日间化疗组患者的平均住院时间和治疗总费用均显著低于与普通化疗组，差异具有统计学意义f4．4±1．1d和13．5±2．3d，6833．0±415．0元和14926．8±1216．0元，均P〈0．01）；两组化疗相关不良反应相似，日间化疗组白细胞降低比例略高于普通化疗组，胃肠道反应（呕吐）发生比例稍低于普通化疗组，差异均无统计学意义（P〉0．05）。结论日间化疗有效缩短了患者的住院时间，减少了住院费用及医疗保险支付费用，可作为常规住院化疗外的治疗新模式进一步推广。Objective To explore the new model of ambulatory chemotherapy supposed to achieve higher turnover rate of wards and less medical cost for treatment of malignant tumors and save medical expenses than the hospital chemotherapy. Methods Analysis of medical cost, time of hospitalization and prevalence of chemotherapy-related adverse effects in 445 patients treated with ambulatory chemotherapy during January 201 ltoDecember 2011 in the tumor hospital of Hunan province（the Affiliated Tumor Hospital of Xiangya Medical school of Central South University）, compared to that of 453 patients with routine chemotherapy enrolled in the same period.Results The mean time of hospitalization and total medical cost of ambulatory chemotherapy group were significantly lower than those of control group （4.4＇4-1.1dvs13.5-4-2.3d and 6833.0-4.415.0 yuan vs14926.84-1216.0 yuan, P 〈0.01 for both）. The chemotherapy-related adverse effects were similar in both group, with the prevalence of leucopenia being higher and that of vomiting being lower in ambulatory chemotherapy （P 〉 0.05 for both）. Conclusion Ambulatory chemotherapy can reduce the time of hospitalization, medical cost of hospitalization and medical insurance payment, and could be recommended as the new model for treatment of conventional chemotherapy.

关 键 词：恶性肿瘤 住院治疗 日间化疗 多因素对比分析 医院管理 

分 类 号：R47[医药卫生—护理学] R197.322[医药卫生—临床医学]