CAJ | 학술논문

目的：从卫生经济学角度探讨手术部位感染对住院日及经济损失的影响。方法采用1：1配对方法对出院病历进行回顾性病例对照研究，比较手术部位感染病例127例(病例组)与同期类似未发生手术部位感染的病例127例(对照组)的住院日及住院费用。结果病例组住院费用的中位数是22235.7元，对照组是8482.4元，感染组是对照组的2.62倍，两组比较有显著性差异( P ＜0.05)，手术部位感染直接额外费用中位数17607元；感染组住院日的中位数是36天，对照组是13天，手术部位感染延长住院天数中位数是12天，两组比较有显著性差异(P ＜0.05)。结论外科手术部位感染增加患者的住院费用和住院天数。医务人员应采取积极措施，切实防范术后感染的发生。
목적：종위생경제학각도탐토수술부위감염대주원일급경제손실적영향。방법채용1：1배대방법대출원병력진행회고성병례대조연구，비교수술부위감염병례127례(병례조)여동기유사미발생수술부위감염적병례127례(대조조)적주원일급주원비용。결과병례조주원비용적중위수시22235.7원，대조조시8482.4원，감염조시대조조적2.62배，량조비교유현저성차이( P ＜0.05)，수술부위감염직접액외비용중위수17607원；감염조주원일적중위수시36천，대조조시13천，수술부위감염연장주원천수중위수시12천，량조비교유현저성차이(P ＜0.05)。결론외과수술부위감염증가환자적주원비용화주원천수。의무인원응채취적겁조시，절실방범술후감염적발생。
Objective to investigate the effect on the hospitalization days and the economic losses of the operation site of infection from health economics. Methods using the 1:1 matching method on the hospital records were retrospective case control study, comparison operation site infection, 127 cases (case group) and the similar period without operation site infection 127 cases (control group), the hospitalization expenses and hospitalization. Results the median patients hospitalization expenses is 22235.7 yuan, the control group is 8482.4 yuan, the infection group was 2.62 times higher than the control group, there were significant difference between two groups (P < 0.05), direct additional costs 17607 yuan median operation site infection; median infection group hospital stay was 36 days, the control group 13 days, operation site infection prolonged the median duration of hospitalization was 12 days, there were significant difference between two groups ( P < 0.05). Conclusion surgical operation site infection increased hospitalization expenses and hospitalization days. Medical staff should take positive measures to prevent infection after operation.