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目的分析不同分娩方式产妇住院费用的影响因素,为减少住院费用,合理分配医疗资源提供参考依据。方法利用BP神经网络模型对深圳市某三甲医院2012年10月-2016年12月间的24 481例住院分娩产妇的住院费用及相关影响因素进行分析。结果 24 481例产妇的平均住院费用为2876.7元,近5年产妇住院分娩费用呈增长的趋势,剖宫产的产妇住院费用5118.9元显著高于顺产产妇的住院费用为2451.9元。无论对于顺产还是剖宫产产妇,产科并发症和抢救的发生都是产妇住院费用较高的重要原因。对于顺产产妇,新生儿出生体重也是产妇住院费用的重要影响因素。结论减少剖宫产率,重点预防常见并发症的发生及妊娠期间监测婴儿体重变化等情况,可以有效控制和减少产妇的住院分娩费用。
Objective To analyze the influencing factors of maternal hospitalization costs in different modes of delivery, and provide reference for rationalizing the distribution of medical resources in order to reduce hospitalization expenses. Methods The BP neural network model was used to analyze the hospitalization expenses and related factors of 24 481 hospitalized delivery women in a top-tier hospital in Shenzhen from October 2012 to December 2016. Results 24 481 maternal average hospitalization cost of 2876.7 yuan, nearly 5 years of maternal hospital delivery costs showed an upward trend in maternal cesarean delivery costs 5118.9 yuan was significantly higher than that of maternal hospitalization was 2451.9 yuan. No matter for cesarean delivery or cesarean section, obstetric complications and rescue the occurrence of maternal hospitalization costs are more important reasons. For midwives, birth weight is also an important contributor to maternal hospitalization costs. Conclusions Reduce the rate of cesarean section, focusing on prevention of common complications and monitoring changes in weight during pregnancy, etc., can effectively control and reduce maternal hospital delivery costs.