摘要
目的了解某院2003-2011年腹腔镜微创技术运用于胆石病和胆囊炎优势病种在当地所占份额及病人来源、年龄结构、治疗情况等，突出该院腹腔镜外科专科特色，促进腹腔镜外科拓展更多的微创外科病种。方法利用万州区卫生局历年卫生统计年鉴及卫生统计网络直报上报病案首页情况，统计万州区二级以上综合医院出院病人及胆石病和胆囊炎病例。利用医院病案统计软件查询2003-2011年所有出院第一诊断ICD-10编码为K80-K81的胆石病和胆囊炎病例，导出Excel电子表格，运用Excel对数据进行统计处理，在卫生部卫生统计报表年龄分组基础上，分为5个年龄组，进行描述性统计分析。结果该院2003-2011年胆石病和胆囊炎占全区二级以上综合医院的39．75％，超出平均水平25．33个百分点；并以11．83％的年均增速递增，9年来一直位居单病种排序第一。腹腔镜胆囊切除病例占胆囊切除术90％以上，并以14．1％的年均增速递增；平均住院9．2天，比开腹胆囊切除术少7．2天；住院人均费用6530．72元，比开腹胆囊切除术低2341．20元，主要是药品费减少1771．58元。结论该院腹腔镜胆囊切除技术成熟，是吸引当地病人的一大优势。腹腔镜微创技术创伤小、恢复快、住院时间短，可多种形势大力宣传，扩展病人来源；加大人才培养和技术投入，推动腹腔镜等微创技术在更多病种的运用。
Objective To understand Laparoscopic minimally invasive technique that has been used in the advantage diseases about cholelithiasis and cholecystitis in one hospital between 2003 and 2011, such as composition ratio and origin of pa- tient , age structure, treatment in the local health resources, protrude professional subject characteristics of laparoscopic surgery, and promote laparoscopic surgery has been used in more diseases. Methods Using home page of medical record of health statis- tics network direct report and year health statistical yearbook in Wanzhou district health bureau, statistics inpatient cases of ehole- lithiasis and choleeystitis level 2 above comprehensive hospital in Wanzhou district, according statistical software of case history hospital, Find cholelithiasis and choleeystitis cases is K80-K81 with ICD-IO with the first diagnosis between 2003 and 2011 , to statistical processing by Excel, take descriptive statistical analysis , split five age group based on the age group health statistics re- port of the ministry of health. Results The ratio of cholelithiasis and cholecystitis is 39.75% ,increasing ratio is 25.33% more than the average level in level 2 above comprehensive hospital in Wanzhou district, with an average annual rate is 11.83%, sin- gle disease sort has been ranked first in nine years . the ratio of laparoseopie cholecystectomy is over 90% in choleeystectomy, and an average annual rate is 14.1%, the average day in hospital is 9.2, and be low 7.2 days than open cholecystectomy , the per capita hospital costs is 6 530.72 yuan, and below 2 341.20 yuan than emergency open cholecystectomy , the main is drug decreased by 1 771.58 yuan. Conclusion Mature technology of laparoscopic resection gallbladder is a big advantage to attract the local patients to one hospital, Laparoscopic minimally invasive technique has the merits of small wound and quick recovery and short hospitalization time, extended source of patients should be publicity through various situation. Extending the using of the laparoseopic technique to more diseases through more investment in the professionals and technology.
出处
《中国医院统计》
2012年第6期401-403,共3页
Chinese Journal of Hospital Statistics
关键词
胆石病和胆囊炎
腹腔镜胆囊切除术
住院病人
年龄分组
病人来源
Cholelithiasis and cholecystitis Laparoscopic cholecystectomy In-patients Age group Source of pa-tients
