本文選題：棘球蚴病 + 手術(shù)治療　； 參考：《中國(guó)寄生蟲學(xué)與寄生蟲病雜志》2017年03期

【摘要】：目的了解藏區(qū)肝棘球蚴病患者手術(shù)治療的費(fèi)用及構(gòu)成,并分析其影響因素,為合理設(shè)置手術(shù)費(fèi)用提供參考依據(jù)。方法 2015年1-12月調(diào)查藏區(qū)某三甲醫(yī)院住院的肝棘球蚴病手術(shù)患者。按入院先后順序,在得到患者知情同意的情況下,采用查閱病歷的方法獲取患者基本資料,并了解患者的醫(yī)療費(fèi)用及其各部分構(gòu)成。采用Microsoft Office excel 2007建立數(shù)據(jù)庫(kù),使用SPSS 18.0統(tǒng)計(jì)學(xué)軟件進(jìn)行數(shù)據(jù)分析。計(jì)算棘球蚴病患者人均醫(yī)療費(fèi)用及其各部分構(gòu)成,并進(jìn)行敏感性分析。結(jié)果本次共收集49例肝棘球蚴病患者的病歷資料,人均住院28.6 d。各項(xiàng)輔助檢查次數(shù),除磁共振檢查外,均超過(guò)2次。人均醫(yī)療費(fèi)用47 146.0元,多房棘球蚴病患者人均醫(yī)療費(fèi)用(60 810.7元)高于細(xì)粒棘球蚴病患者(42 211.5元)(P0.05),多房棘球蚴病患者的各部分費(fèi)用也均高于細(xì)粒棘球蚴病患者(P0.05)。藥品、耗材、治療(含手術(shù))和檢查的人均費(fèi)用依次為16 944.1元、12 903.0元、9 037.9元和4 823.5元,分別占35.9%、27.4%、19.2%和10.2%。手術(shù)治療肝棘球蚴病患者的醫(yī)療費(fèi)用隨著住院天數(shù)的增加而升高,CT檢查次數(shù)≤2次組的人均醫(yī)療費(fèi)用為43 192.0元,2次組的人均醫(yī)療費(fèi)用為53 955.7元,兩者差異有統(tǒng)計(jì)學(xué)意義(P0.05)。藥物費(fèi)用是肝棘球蚴病患者醫(yī)療費(fèi)用中最主要的敏感因素。結(jié)論肝棘球蚴病患者醫(yī)療費(fèi)用很高,可采取合理使用藥品和耗材,合理安排患者的檢查次數(shù)、住院天數(shù)等措施,以降低醫(yī)療費(fèi)用。
[Abstract]:Objective to understand the cost and composition of surgical treatment for hepatic echinococcosis in Tibetan area and analyze its influencing factors. Methods Hepatic echinococcosis patients in a third class hospital in Tibet were investigated from January to December 2015. According to the order of admission, the patient's basic information was obtained by consulting the medical records, and the patient's medical expenses and their components were also understood under the condition of obtaining the patient's informed consent. Microsoft Office excel 2007 was used to establish the database and SPSS 18.0 was used to analyze the data. The average medical cost and its components of patients with echinococcosis were calculated and sensitivity analysis was carried out. Results the medical records of 49 patients with hepatic echinococcosis were collected, and the average hospital stay was 28.6 days. The number of auxiliary examinations, except magnetic resonance examination, was more than 2 times. The medical cost per capita was 47 146.0 yuan and 60 810.7 yuan per capita in patients with multilocularis echinococcosis. It was higher than 42 211.5 yuan in patients with echinococcosis and P 0.05% in patients with multilocularis echinococcosis. The cost of each part of patients with multilocular echinococcosis was also higher than that of patients with echinococcosis. The per capita cost of drugs, consumables, treatment (including surgery) and examination were 16 944.1 yuan, 12 903.0 yuan, 9 037.9 yuan and 4 823.5 yuan respectively, accounting for 35.927. 442% and 10. 2%, respectively. The medical cost of the patients with hepatic echinococcosis increased with the increase of hospitalization days. The per capita medical cost of the group with 43 192.0 yuan and 2 times of CT examination 鈮，

本文編號(hào)：1886874