摘要
目的研究常规住院3~5d腹腔镜胆囊切除手术患者各组间止血材料费用的差异性。方法选取2015年1月1日至2017年12月30日行腹腔镜胆囊切除手术、住院时间为3~5d的胆结石患者1385例,并按照诊断疾病类别分为胆囊结石(A组)32例、胆囊结石伴胆囊炎(B组)29例、胆囊结石伴急性胆囊炎(C组)76例、胆囊结石伴慢性胆囊炎(D组)1110例、胆囊结石伴慢性胆囊炎急性发作(E组)138例共5个组,比较各组患者止血材料费用的差异。结果住院时间3~5d的腹腔镜胆囊切除手术患者各组间创面止血材料费用、止血材料总费用、材料费用比较,差异均无统计学意义(P>0.05);患者住院总费用(除个别项)比较,差异有统计学意义(P<0.05)。结论住院时间3~5d的腹腔镜胆囊切除手术患者止血材料费用的研究结果可为相同手术止血材料使用标准的制订、单病种止血材料使用管理研究提供重要依据。
ObjectiveTo study the difference in hemostatic material costs between different diagnostic groups in patients undergoing laparoscopic cholecystectomy 3 to 5 days after routine hospitalization.MethodsA total of 1 385 patients with gallstones who underwent laparoscopic cholecystectomy from January 1,2015 to December 30,2017 and who were hospitalized for 3 to 5 days were enrolled.The above patients were divided into 5 groups according to the type of disease diagnosis:32 cases of gallstones(group A),29 cases of gallstones with cholecystitis(group B),76 cases of gallstones with acute cholecystitis(group C),1 110 cases of gallstones with chronic cholecystitis(group D),138 cases of gallstones with acute onset of chronic cholecystitis(group E).The difference in the cost of the hemostatic material between the groups was compared.ResultsThere was no significant difference in the cost of hemostatic material between the patients in the laparoscopic cholecystectomy between 3 and 5 days after hospitalization,the total cost of hemostasis materials and the cost of patients′materials(P>0.05).The total hospitalization cost was statistically significant except for individual items(P<0.05).ConclusionThe results of the study on the cost of hemostasis in patients undergoing laparoscopic cholecystectomy for 3 to 5 days of hospitalization can provide an important basis for the development of the same surgical hemostatic material use criteria and the management of the use of single-health hemostatic materials.
作者
向华
刘相花
尹军
张和华
伍强
陈世耕
邓玲
邱景富
XIANG Hua;LIU Xianghua;YIN Jun;ZHANG Hehua;WU Qiang;CHEN Shigeng;DENG Ling;QIU Jingfu(School of Public Health and Management,Chongqing Medical University,Chongqing 400046,China;Department of Medical Engineering,Daping Hospital,Army Minitary Medical University,Chongqing 400042,China;Department of Hepatobiliary Surgery,Daping Hospital,Army Minitary Medical University,Chongqing 400042,China;Medical Insurance Management Office,Daping Hospital,Army Minitary Medical University,Chongqing 400042,China)
出处
《现代医药卫生》
2019年第17期2614-2616,共3页
Journal of Modern Medicine & Health
基金
重庆市医疗器械学会医学装备管理与技术保障创新课题项目（2018YYX001）
关键词
止血材料
腹腔镜胆囊切除术
胆囊结石
医用耗材
Hemostatic material
Laparoscopic cholecystectomy
Gallstone
Medical supplies
