双胎妊娠分娩的住院费用及其影响因素分析  

Analysis of Hospitalization Expenses and Influencing Factors in Delivery of Twin Pregnancies

作　　者：袁源 张正宇 彭丽[3] 李莉[4] 梅玲蔚[4] Yuan Yuan;Zhang Zhengyu;Peng Li;Li Li;Mei Lingwei(不详;Department of Medical Record,Chongqing Health Center for Women and Children,Women and Children's Hospital of Chongqing Medical University,Chongqing 401147,Sichuan Province,China)

机构地区：[1]重庆医科大学附属妇女儿童医院病案科,重庆市401147 [2]浙江大学医学院附属第一医院病案科,浙江省杭州市310003 [3]重庆医科大学附属第一医院病案科,重庆市400016 [4]重庆医科大学附属妇女儿童医院产二科,重庆市401147

出　　处：《中国病案》2024年第8期60-63,共4页Chinese Medical Record

基　　金：重庆市卫健委2023年妇幼管理项目(2023FY205)。

摘　　要：目的分析双胎住院分娩产妇费用构成及其影响因素,为优化产科住院费用提供参考。方法收集重庆市某医院2021年1月1日至2022年12月31日双胎住院分娩产妇的住院病案首页1439例,采用相关性分析、单因素分析和多重线性回归方法对住院费用的影响因素进行分析。结果1439例双胎住院分娩平均费用9079.3元;检查类费用占比最高,为33.7%,其次为治疗类(22.9%)和药品类(22.3%)。单因素分析提示年龄、入院途径、绒毛膜性质、妊娠风险等级、ART双胎、输血、分娩孕周和住院天数的住院费用差异有统计学意义(P<0.05)。多重线性回归模型提示,输血、住院天数≥6天、高风险妊娠、转院、分娩孕周≤33周等因素会显著增加双胎产妇住院费用(P<0.05),标化偏回归系数分别为5158.49、4249.80、2966.69、1772.29和852.17。结论住院天数、妊娠风险等级、是否输血、入院方式和分娩孕周是住院费用的主要影响因素。防治早产、减少产科并发症和降低剖宫产率是控制住院医疗费用的关键。Objectives To analyze the hospitalization expenses composition and its influencing factors in hospital delivery of twin pregnancies,so as to provide reference for effective control obstetric hospitalization expenses.Methods The front page information of 1439 cases of twin delivery in a hospital in Chongqing from January 1st,2021 to December 31st,2022 were collected.The correlation analysis,single factor analysis and multiple linear regression methods were used to analyze the influencing factors of hospitalization expenses.Results The average hospitalization expenses of 1439 twins was 9079.3 yuan.The expenses of examination accounted for the highest proportion(33.7%),followed by treatment(22.9%)and medicine(22.3%).Univariate analysis showed that there were statistically significant differences in hospitalization expenses of age,admission route,chorionic nature,pregnancy risk grade,ART twins,blood transfusion,gestational weeks of delivery and length of stay(P<0.05).Multiple linear regression model indicated that blood transfusion,length of stay≥6 days,high-risk pregnancy,hospital transfer,delivery before 33 weeks would significantly increase the hospitalization expenses of twins(P<0.05),and the standardized partial regression coefficients were 5158.49,4249.80,2966.69,1772.29 and 852.17,respectively.Conclusions Length of stay,pregnancy risk grade,blood transfusion or not,way of hospitalization and gestational age were the major influencing factors of hospitalization expenses.Prevention and treatment of preterm birth,reduction of obstetric complications and the incidence of cesarean section were the key to control hospitalization expenses.

关 键 词：双胎 产科 住院费用 影响因素 

分 类 号：R714.23[医药卫生—妇产科学] R197.323[医药卫生—临床医学]