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目的了解妇科单病种付费疾病患者抗菌药物的使用以及医院感染对单病种付费的影响。方法回顾调查某院妇科2006年10月-2007年4月符合单病种付费疾病的107例患者住院费用、抗菌药物使用及医院感染情况。结果妇科单病种付费疾病中进行开腹手术患者的住院费用均超出基本医疗保险费用,并且子宫肌瘤与卵巢良性肿瘤患者超过半数为抗菌药物不合理使用费用,分别占亏损总额的51.6%和52.5%,主要为术后静脉使用抗菌药物时间长所致。医院感染患者较非医院感染患者的费用平均高出2461元。结论应加强医院感染的预防控制,降低单病种付费疾病费用,尤其是抗菌药物的使用费用。
Objective To understand the use of antimicrobials in patients with single disease of gynecological diseases and the impact of nosocomial infection on single disease payment. Methods A retrospective survey of hospital gynecology in October 2006 -2007 in April in line with the single-disease payment of disease in 107 patients hospitalization costs, use of antimicrobial agents and nosocomial infections. The results of gynecological single disease pay diseases in patients with open surgery costs are beyond the cost of basic medical insurance and uterine fibroids and benign ovarian cancer patients accounted for more than half of the irrational use of antimicrobial drugs, accounting for 51.6% of the total loss and 52.5%, mainly due to prolonged use of antimicrobial drugs after intravenous. The cost of nosocomial infections in patients with nosocomial infections was 2,461 yuan higher on average. Conclusion Prevention and control of nosocomial infections should be strengthened to reduce the cost of disease-paying diseases for single disease, especially for the use of anti-bacterial drugs.