剖胸术后切口感染经济损失病例对照分析  

Case-controlled Analysis of Economic Loss of Post-thoracotomy Incision

作　　者：崔少罡[1] 白玲[1] 常诚[1] 崔示德[1] 张昊[1] 张玲 

机构地区：[1]解放军第264医院,山西太原030001

出　　处：《中华医院感染学杂志》2002年第2期87-88,共2页Chinese Journal of Nosocomiology

摘　　要：目的　从卫生经济学的角度探讨控制剖胸术后切口感染的重要性。方法　以胸外科择期手术患者为研究对象 ,通过病例对照分析 ,对 35对 (感染组和对照组 )病例的医疗费用和住院天数进行回顾性调查 ,计量资料以 t检验处理。结果　感染组的住院总费用和住院天数均明显高于对照组 (P<0 .0 1) ;住院费用分类统计 :感染组的处置费和床位费明显高于对照组 (P<0 .0 1) ,营养支持费用两组比较有统计学意义 (P<0 .0 5 ) ,抗生素费用和检验特诊费两组的比较差异无显著性 (P>0 .0 5 )。结论　剖胸术后切口感染是不能忽视的医院感染组成部分 ,其造成的经济损失是巨大的 ;根据胸外科的特点 ,控制切口感染对降低经济损失、减轻患者痛苦。OBJECTIVE To explore the importance of the incision infection control by analysing the economic loss caused by post-thoracotomy incision infection. METHODS Patients in the thoracic surgery department were investigated as study objects. Through case-controlled analysis, medical cost, classified cost and in-hospital days of 35 pairs of cases in the infection and controlled groups were reviewed. The obtained statistical data were given t-test. RESULTS The two groups had very great difference in the total in-hospital cost and days (P<0.001). The in-hospital cost was classified statistically: the treatment cost and bed cost in the infection group were apparently higher than the controlled group (P<0.01). The cost of nutrients support had more statistical significance (P<0.05). Antibiotic cost and special examination cost had no apparent difference each other (P>0.05). CONCLUSIONS Incision infection caused by post-thoracotomy should not be ignored in the nosocomial infection control. The economic loss caused by such infection was great. According to the thoracic surgery characters, the control of incision infection to reduce medical cost, relieve the patient′s pain and improve the life quality had good significance.

关 键 词：剖胸术后 切口感染 卫生经济学 损失 对照分析 

分 类 号：R655[医药卫生—外科学]