中华创伤杂志
中華創傷雜誌
중화창상잡지
Chinese Journal of Traumatology
2014年
12期
1201-1204
,共4页
肋骨骨折%骨折固定术,内%费用效益分析
肋骨骨摺%骨摺固定術,內%費用效益分析
륵골골절%골절고정술,내%비용효익분석
Rib fractures%Fracture fixation,internal%Cost-benefit analysis
目的 评估手术内固定治疗重度肋骨骨折的经济学效益及临床意义,为提高肋骨骨折的救治水平提供客观依据.方法 回顾性分析2009年1月-2014年4月收治的50例重度肋骨骨折患者的临床资料,按治疗方式分为手术组(13例)和非手术组(37例).对两组住院时间、住院总费用、通气支持时间、下地活动时间、抗生素使用时间及并发症发生率等指标进行统计并对成本-效果进行分析.结果 手术组住院时间(25.9 ±8.2)d、住院费用(121 676.2±10 991.1)元、通气支持时间(7.9±2.8)d、下地活动时间(14.3±4.9)d、抗生素使用时间(12.4±3.3)d,2例出现并发症.非手术组上述相应指标分别为(35.4±7.0)d、(148 724.5±21 254.3)元、(14.1±3.3)d、(26.1 ±6.5)d、(21.2±6.2)d,13例出现并发症.两组通气支持时间、下地活动时间、抗生素使用时间差异均有统计学意义(P＜0.05).手术组主、客观显效的成本效果比(1 962.52,3 925.03)均优于非手术组(1 931.48,3 718.10),提示手术治疗具有更大的经济效益.结论 相对非手术治疗,手术内固定可显著加快重度肋骨骨折患者的康复,降低治疗费用,值得临床推广.
目的 評估手術內固定治療重度肋骨骨摺的經濟學效益及臨床意義,為提高肋骨骨摺的救治水平提供客觀依據.方法 迴顧性分析2009年1月-2014年4月收治的50例重度肋骨骨摺患者的臨床資料,按治療方式分為手術組(13例)和非手術組(37例).對兩組住院時間、住院總費用、通氣支持時間、下地活動時間、抗生素使用時間及併髮癥髮生率等指標進行統計併對成本-效果進行分析.結果 手術組住院時間(25.9 ±8.2)d、住院費用(121 676.2±10 991.1)元、通氣支持時間(7.9±2.8)d、下地活動時間(14.3±4.9)d、抗生素使用時間(12.4±3.3)d,2例齣現併髮癥.非手術組上述相應指標分彆為(35.4±7.0)d、(148 724.5±21 254.3)元、(14.1±3.3)d、(26.1 ±6.5)d、(21.2±6.2)d,13例齣現併髮癥.兩組通氣支持時間、下地活動時間、抗生素使用時間差異均有統計學意義(P＜0.05).手術組主、客觀顯效的成本效果比(1 962.52,3 925.03)均優于非手術組(1 931.48,3 718.10),提示手術治療具有更大的經濟效益.結論 相對非手術治療,手術內固定可顯著加快重度肋骨骨摺患者的康複,降低治療費用,值得臨床推廣.
목적 평고수술내고정치료중도륵골골절적경제학효익급림상의의,위제고륵골골절적구치수평제공객관의거.방법 회고성분석2009년1월-2014년4월수치적50례중도륵골골절환자적림상자료,안치료방식분위수술조(13례)화비수술조(37례).대량조주원시간、주원총비용、통기지지시간、하지활동시간、항생소사용시간급병발증발생솔등지표진행통계병대성본-효과진행분석.결과 수술조주원시간(25.9 ±8.2)d、주원비용(121 676.2±10 991.1)원、통기지지시간(7.9±2.8)d、하지활동시간(14.3±4.9)d、항생소사용시간(12.4±3.3)d,2례출현병발증.비수술조상술상응지표분별위(35.4±7.0)d、(148 724.5±21 254.3)원、(14.1±3.3)d、(26.1 ±6.5)d、(21.2±6.2)d,13례출현병발증.량조통기지지시간、하지활동시간、항생소사용시간차이균유통계학의의(P＜0.05).수술조주、객관현효적성본효과비(1 962.52,3 925.03)균우우비수술조(1 931.48,3 718.10),제시수술치료구유경대적경제효익.결론 상대비수술치료,수술내고정가현저가쾌중도륵골골절환자적강복,강저치료비용,치득림상추엄.
Objective To evaluate economic benefits and clinical effects of internal fixation treatment of severe rib fracture so as to provide objective basis for improving medical treatment for rib fracture.Methods A retrospective review was made on clinical data of 50 patients with severe rib fracture hospitalized from January 2009 to April 2014.With varied treatment modalities,the patients were assigned to operative group (n =13) and non-operative group (n =37).Variables were recorded including length of stay,total hospital charges,length of ventilatory support,off-bed time,duration of antibiotic use and incidence of complications and used to perform cost-efficiency analysis.Results Between operative and non-operative groups,length of hospital stay was (25.9 ± 8.2) days vs (35.4 ± 7.0) days,total hospital charges were (121 676.2 ± 10 991.1) yuan vs (148 724.5 ± 21 254.3) yuan,length of ventilatory support was (7.9 ± 2.8) days vs (14.1 ± 3.3) days,off-bed time was (14.3 ± 4.9) days vs (26.1 ± 6.5) days,duration of antibiotic use was (12.4 ± 3.3) days vs (21.2 ± 6.2) days and complications occurred in 2 cases vs 13 cases respectively.The findings were length of ventilatory support,off-bed time and duration of antibiotic use differed significantly between the two groups (P ＜ 0.05).Cost-effectiveness ratios based on subjective and objective measures were superior in operative group (1 962.52 and 3 925.03) over those in non-operative group (1 931.48 and 3 718.10),suggesting operative treatment could yield higher economic returns.Conclusion Internal fixation can accelerate bone healing in patients with severer rib fracture and cut down medical expense,which should be promoted in medical treatment.
