上海市某三甲医院止血类医用耗材临床使用评价  

Clinical Evaluation of Hemostatic Medical Consumables in Grade Ⅲ-A Hospital in Shanghai

作　　者：黄阿红 郑蕴欣[2,5] 隋海宇 汪方杰 罗莉[4,5] 俞骏仁 HUANG Ahong;ZHENG Yunxin;SUI Haiyu;WANG Fangjie;LUO Li;YU Junren(Medical Department,Shanghai Sixth People’s Hospital,Shanghai 200233,China;Department of Medical Equipment,Shanghai Sixth People’s Hospital,Shanghai 200233,China;Office of Medical Insurance,Shanghai Sixth People’s Hospital,Shanghai 200233,China;Office of Party Committee,Shanghai Sixth People’s Hospital,Shanghai 200233,China;Institute of Hospital Management Research,China Hospital Development Institute,Shanghai Jiao Tong University,Shanghai 200233,China)

机构地区：[1]上海市第六人民医院医务处,上海200233 [2]上海市第六人民医院医学装备处,上海200233 [3]上海市第六人民医院医疗保险办公室,上海200233 [4]上海市第六人民医院党委办公室,上海200233 [5]上海交通大学中国医院发展研究院医院运营研究所,上海200233

出　　处：《中国医疗设备》2024年第8期88-92,共5页China Medical Devices

基　　金：国家重点研发计划(2022YFC2407005);上海市医院协会2022年度青年项目(Q2022045);上海市卫生法学研究课题(2021WF07);2022年度上海交通大学智库引导性研究项目(ZKYJ-2022009)。

摘　　要：目的评价分析某院普外科恶性肿瘤手术中止血类耗材的使用情况,为医院耗材合理使用和监管提供政策建议。方法选取2023年1—9月在该院普外科进行恶性肿瘤手术治疗的391例患者为研究对象,通过分层抽样确定研究样本,根据病例资料应用Stata 16.0对4种止血类耗材的有效性和经济性进行统计学分析,其中有效性指标为术中出血量和术后引流管放置天数,经济性指标为术后住院天数和止血治疗相关费用。结果不同种类的止血类耗材在术中出血量和术后引流管放置天数差异具有统计学意义(P<0.05);而在术后住院天数以及术后止血治疗相关费用消耗方面,4种止血类耗材之间差异无统计学意义(P>0.05)。结论本研究结果显示,不同种类的止血类耗材的有效性得以体现,有效性较好的耗材单价相对更高,但难以体现经济性价值。本研究为止血类耗材合理规范化使用和有效监管提供了参考借鉴。Objective To evaluate and analyze the use of hemostatic consumables in the surgical treatment of malignant tumors in the general surgery department of a certain hospital,and provide policy suggestions for the rational use and supervision of hospital consumables.Methods A total of 391 patients who underwent surgical treatment for malignant tumors in the general surgery department of the hospital from January to September 2023 were selected as the research objects.Stratified sampling was used to determine the research samples.Stata 16.0 was used to conduct statistical analysis on the effectiveness and cost-effectiveness of four types of hemostatic consumables based on case data.The effectiveness indexes included intraoperative blood loss and postoperative drainage tube placement days,while the cost-effectiveness indexes included postoperative hospital stay and hemostatic treatmentrelated costs.Results Different types of hemostatic consumables showed statistically significant differences in intraoperative blood loss and postoperative drainage tube placement days(P<0.05);there were no significant differences among the four types of hemostatic consumables in terms of postoperative hospital stay and postoperative hemostatic treatment-related costs(P>0.05).Conclusion The results of this study showed that the effectiveness of different types of hemostatic consumables was highlighted,with consumables that demonstrate better effectiveness having relatively higher unit prices,but it was difficult to reflect the economic value.This study provides a reference for the rational standardized use as well as effective supervision of hemostatic consumables.

关 键 词：止血类医用耗材 临床使用评价 有效性 经济性 

分 类 号：R197.32[医药卫生—卫生事业管理]