快速康复理念对肺癌手术患者住院费用的影响  

Application of fast-track surgery in hospitalized patients with lung cancer

作　　者：王才英[1] 殷章红[1] 贺桂文[2] 

机构地区：[1]黄石市中心医院(湖北理工学院附属医院)血液净化中心,湖北黄石435000 [2]黄石市中心医院(湖北理工学院附属医院)麻醉科,湖北黄石435000

出　　处：《现代肿瘤医学》2015年第19期2744-2746,共3页Journal of Modern Oncology

基　　金：湖北省自然科学基金面上项目(编号:2012FFB02324)

摘　　要：目的:探讨快速康复理念对肺癌手术患者安全和有效性及住院费用的影响。方法:住院肺癌患者160例,分为实验组和对照组,各80例。对照组接受传统方法治疗,实验组按快速康复理念治疗。观察两组疗效,比较住院费用差异。结果:实验组住院时间、手术时间、术后并发症均明显小于对照组,治愈例数多于对照组,具有统计学意义(P<0.05)。两组服务、诊断及材料费用差异不大(P>0.05),治疗、药品及总费用差异显著(P<0.05)。总住院费构成比例高的是治疗和药品。结论:快速康复理念应用于肺癌患者围手术期,能明显降低住院及手术时间和住院费用。Objective：To investigate the effect of fast - track surgery used in perioperative care for patients with lung cancer,and to analyze its impact on hospital costs. Methods：Totally 160 cases of lung cancer were divided into experimental group and control 80 in each. The patients were treated as fast - track surgery in the experimental group. On the contrary,the patients of control were managed as usual. The clinical index of patients and hospitalization costs were observed and compared. Results：The operation time,day of hospital stay and postoperative complications in the experimental group were significantly lower than that in the control（P 〈 0. 05）. The cost of living service,diagnostic and medical instruments fee were almost equal without significant difference（P 〉 0. 05）. However,the medical care costs,drug costs and total costs in the experimental group difference were much higher than control（P 〈 0. 05）. Con-clusion：Fast - track surgery used in perioperative patients with lung cancer,can significantly reduce hospital stays and operating time as well as hospitalization costs.

关 键 词：快速康复理念 肺癌 住院费用 

分 类 号：R730.5[医药卫生—肿瘤]