CAJ | 학술논문

目的探讨恶性肿瘤化疗新模式，通过增加床位周转，缓解目前恶性肿瘤患者住院难，住院贵的问题，节省医疗开支。方法统计湖南省肿瘤医院2011年1月至2011年12月接受日间化疗患者(n=445)的治疗费用、住院时间及化疗相关不良反应的发生情况，以同期接受普通化疗的患者(n=453)作为对照组。结果日间化疗组患者的平均住院时间和治疗总费用均显著低于与普通化疗组，差异具有统计学意义(4.4±1.1d和13.5±2.3d，6833.0±415.0元和14926.8±1216.0元，均P ＜0.01)；两组化疗相关不良反应相似，日间化疗组白细胞降低比例略高于普通化疗组，胃肠道反应(呕吐)发生比例稍低于普通化疗组，差异均无统计学意义(P ＞0.05)。结论日间化疗有效缩短了患者的住院时间，减少了住院费用及医疗保险支付费用，可作为常规住院化疗外的治疗新模式进一步推广。
목적탐토악성종류화료신모식，통과증가상위주전，완해목전악성종류환자주원난，주원귀적문제，절성의료개지。방법통계호남성종류의원2011년1월지2011년12월접수일간화료환자(n=445)적치료비용、주원시간급화료상관불량반응적발생정황，이동기접수보통화료적환자(n=453)작위대조조。결과일간화료조환자적평균주원시간화치료총비용균현저저우여보통화료조，차이구유통계학의의(4.4±1.1d화13.5±2.3d，6833.0±415.0원화14926.8±1216.0원，균P ＜0.01)；량조화료상관불량반응상사，일간화료조백세포강저비례략고우보통화료조，위장도반응(구토)발생비례초저우보통화료조，차이균무통계학의의(P ＞0.05)。결론일간화료유효축단료환자적주원시간，감소료주원비용급의료보험지부비용，가작위상규주원화료외적치료신모식진일보추엄。
@@@@Objective To explore the new model of ambulatory chemotherapy supposed to achieve higher turnover rate of wards and less medical cost for treatment of malignant tumors and save medical expenses than the hospital chemotherapy. Methods Analysis of medical cost, time of hospitalization and prevalence of chemotherapy-related adverse effects in 445 patients treated with ambulatory chemotherapy during January 2011toDecember 2011 in the tumor hospital of Hunan province(the Affiliated Tumor Hospital of Xiangya Medical school of Central South University), compared to that of 453 patients with routine chemotherapy enrolled in the same period.Results The mean time of hospitalization and total medical cost of ambulatory chemotherapy group were significantly lower than those of control group (4.4±1.1dvs13.5±2.3d and 6833.0±415.0 yuan vs14926.8±1216.0 yuan, P <0.01 for both). The chemotherapy-related adverse effects were similar in both group, with the prevalence of leucopenia being higher and that of vomiting being lower in ambulatory chemotherapy (P > 0.05 for both). Conclusion Ambulatory chemotherapy can reduce the time of hospitalization, medical cost of hospitalization and medical insurance payment, and could be recommended as the new model for treatment of conventional chemotherapy.