某三甲医院剖宫产术后子宫瘢痕妊娠患者住院费用影响因素分析  

Analysis of influencing factors on hospitalization expenses of cesarean scar pregnancy patients in a tertiary hospital

作　　者：李翠玲[1,2] 张东峰[1] 胡晓娟[2] 周锐 Li Cuiling;Zhang Dongfeng;Hu Xiaojuan;Zhou Rui(School of Public Health,Qingdao University,Qingdao 266012,China;Zibo Maternal and Child Health Hospital,Zibo 255000,China)

机构地区：[1]青岛大学公共卫生学院,山东青岛266012 [2]淄博市妇幼保健院,山东淄博255000

出　　处：《中国医院统计》2023年第3期216-221,共6页Chinese Journal of Hospital Statistics

摘　　要：目的分析剖宫产术后子宫瘢痕妊娠(CSP)住院费用影响因素,为CSP临床合理控制费用提供依据。方法以山东省某医院2019年1月至2022年7月出院的CSP患者为研究对象,运用描述性分析、卡方检验、Fisher确切概率法、秩和检验和多元线性回归分析等方法进行统计分析。结果最终327例CSP患者纳入研究,住院总费用呈波动下降趋势,中位数为4364.65元,年均增长率为-3.04%;药费呈持续上涨趋势,年均增长率为9.96%;不同住院天数、孕周、有无合并症、麻醉方式、手术类型患者的住院费用差异有统计学意义(P<0.05);多元线性回归分析显示,住院费用的主要影响因素有麻醉方式、手术类型、住院天数、孕周(P<0.05)。结论临床需要通过对CSP患者早诊断早治疗、合理选择手术类型和麻醉方式、科学减少住院天数,进一步降低CSP患者住院费用。Objective To analyze the influencing factors of hospitalization costs for cesarean scar pregnancy and provide a basis for reasonable cost control in clinical practice.Methods A study was conducted on patients with cesarean scar pregnancy who were discharged from a hospital in Shandong Province from January 2019 to July 2022.Statistical methods such as descriptive analysis,Chi-square test,Fisher's exact probability method,rank sum test,and multiple linear regression analysis were used for the study.Results Finally 327 patients with CSP were enrolled in the study.The total hospitalization expenses showed a fluctuating downward trend,with a median of 4364.65 yuan and an average annual growth rate of-3.04%.The drug cost showed a continuous upward trend,with an average annual growth rate of 9.96%.There were statistically significant differences in hospitalization expenses among hospital stay,gestational age,comorbidities,anesthesia methods,and surgical types(P<0.05).Multiple linear regression analysis showed that the main influencing factors of hospitalization expenses were anesthesia method,surgical type,length of hospital stay,and gestational age(P<0.05).Conclusion It is clinically necessary to further reduce hospitalization costs for CSP patients by early diagnosis and treatment,reasonable selection of surgical types and anesthesia methods,and scientific reduction of hospital stay.

关 键 词：剖宫产术后子宫瘢痕妊娠 住院费用 影响因素 

分 类 号：R714.22[医药卫生—妇产科学] R197.3[医药卫生—临床医学]