CAJ | 학술논문

目的：分析腹股沟疝手术患者住院费用的影响因素，探寻此单病种的费用控制办法。方法选取腹股沟疝无张力手术患者为研究对象，采用多重线性回归统计学方法回顾性分析住院费用与年龄组、性别、付款方式、有无其他诊断、手术方式、住院天数、术前住院天数、病历分型、是否伴有梗阻或坏疽和单双侧疝的相关性。结果回归模型有统计学意义（F=128.450，P＜0.001），回归模型中的回归系数显示，影响住院费用的因素其作用从大到小依次为：手术方式（-6206.470）、单双侧疝（1500.837）、住院天数（1374.836）、术前住院天数（-555.361），R2=0.455。结论控制腹股沟疝单病种住院费用的关键是控制手术一次性医用材料费，缩短住院天数，根据实际优化术前检查检验和手术室接台的流程安排，提高医疗服务价格的同时合理用药和控制高值耗材的使用，可有效降低腹股沟疝单病种的住院费用。
목적：분석복고구산수술환자주원비용적영향인소，탐심차단병충적비용공제판법。방법선취복고구산무장력수술환자위연구대상，채용다중선성회귀통계학방법회고성분석주원비용여년령조、성별、부관방식、유무기타진단、수술방식、주원천수、술전주원천수、병력분형、시부반유경조혹배저화단쌍측산적상관성。결과회귀모형유통계학의의（F=128.450，P＜0.001），회귀모형중적회귀계수현시，영향주원비용적인소기작용종대도소의차위：수술방식（-6206.470）、단쌍측산（1500.837）、주원천수（1374.836）、술전주원천수（-555.361），R2=0.455。결론공제복고구산단병충주원비용적관건시공제수술일차성의용재료비，축단주원천수，근거실제우화술전검사검험화수술실접태적류정안배，제고의료복무개격적동시합리용약화공제고치모재적사용，가유효강저복고구산단병충적주원비용。
Objectives To analyze the influential factors on the hospitalization expense of inguinal hernia inpatients with operation,and study how to control the cost of this single disease.Methods The inpatients with inguinal hernia who received unstressing operation were selected as the research subjects,then a retrospective analysis was conducted to analyze the correlation of age group,gender,payment ways,accompany diagnosis, operation mode,hospitalization days,hospitalization days before operation,case classification,with or without gangrene or obstruction,bilateral or unilateral inguinal hernia with the hospitalization expense with multiple linear regression statistical method.Results The regression mode was of statistical significance(F=128.450,P<0.001).The regression coefficient of the regression mode showed that the hospitalization expense influential factors included operation mode(-6206.470),unilateral or bilateral inguinal hernia(1500.837),hospitalization days (1374.836),hospitalization days before operation(-555.361),withR2=0.455.Conclusions The key to control the hospitalization expense of inguinal hernia is to control disposable surgical material fee,shorten the hospitalization duration,optimize the examinations before surgery and the OR flow management,increase the medical service price and control the use of drugs and materials,thus can decrease hospitalized expense of patients with inguinal hernia effectively.