CAJ | 학술논문

　　目的：探讨影响子宫肌瘤手术病人住院费用的主要因素，为有效控制医疗费用增长，减轻病人经济负担提供参考。方法：收集了2011年1月至2012年12月所有在我院出院的主要诊断是子宫肌瘤的手术患者1837例，应用通径分析研究其住院费用的影响因素。结果：手术方式、全子宫切除与否、年份、并发症、医疗分组和院感等因素可以直接影响住院费用，也可以通过住院日和药费间接影响住院费用。结论：要降低病人费用，需要医生选择合适的治疗方案，合理用药，积极治疗和护理，防止感染等有害因素发生，需要管理部门加强监督协调，优化治疗检查流程。
　　목적：탐토영향자궁기류수술병인주원비용적주요인소，위유효공제의료비용증장，감경병인경제부담제공삼고。방법：수집료2011년1월지2012년12월소유재아원출원적주요진단시자궁기류적수술환자1837례，응용통경분석연구기주원비용적영향인소。결과：수술방식、전자궁절제여부、년빈、병발증、의료분조화원감등인소가이직접영향주원비용，야가이통과주원일화약비간접영향주원비용。결론：요강저병인비용，수요의생선택합괄적치료방안，합리용약，적겁치료화호리，방지감염등유해인소발생，수요관리부문가강감독협조，우화치료검사류정。
Objective: To explore the major factors which influence the hospitalization expense of fibroid operation,provide references for the effective control of the increasing medical expense and ease the burden of patients. Methods: From January 2011 to December 2012, 1 837 cases of fibroids in our hospital were investigated, and pathway analysis method was used to analyze the factors which influence the hospitalization expense. Results: Operation method, whether use hysterectomy, the year of medical treatment, complication, medical group and nosocomial infection are the critical influencing factors which can directly effect on the hospitalization expense, and these factors not only have direct effects but also have indirect effects on hospitalization expense. Conclusion:Government and medical institutions should take comprehensive measures to decraease hospitalization expense, including the reasonable treatment options, rational drug use, active treatment and prevention of infection.