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目的:研究日间手术模式下对腹股沟斜疝手术住院医疗费用的影响情况。方法:选取我院日间手术中心运行后的2013年01月至2013年09与日间手术中心运行前的2012年01月至2012年09月两时期腹股沟斜疝手术出院患者的临床资料进行对比分析,观察日间手术中心运行前后患者的平均住院医疗费用、平均药费及平均住院日的变化差异。结果:手术中心运行后的日间手术中心组的平均住院总费用为7106.73比非日间手术组下降13.90%,差异具有统计学意义(P=0.032);日间手术组平均住院日比非日间手术组缩短3.53天,差异具有统计学意义(P=0.000);平均药品费用日间手术组比非日间手术级下降22.59%,差异具有统计学意义(P=0.000)。结论:腹股沟斜疝日间手术模式能有效降低住院医疗费用,减少药品费用支出、缩短患者平均住院日,对医院的收入结构产生良性的影响,提高医院的经济效益和社会效益。
Objective: To study the effect of day surgery on inpatient medical costs of indirect inguinal hernia surgery. METHODS: The clinical data of patients discharged from inguinal hernia during January 2013 to September 2013 after operation of our day operation center between January 2012 and September 2013 before the day operation center operation from January 2012 to September 2012 were compared. Analysis, observation of day surgery center before and after the operation of patients in the average cost of hospitalization, the average cost of medication and the average length of stay vary. Results: The average cost of hospitalization in the daytime operation center after operation was 7106.73, which was 13.90% lower than that of the non-day operation group (P = 0.032). The average length of stay in the daytime operation group was significantly higher than that in the non-day operation group Compared with the non-day surgery group, the average cost of medication was decreased by 22.59% in the inter-operation group (P = 0.000). The difference was statistically significant (P = 0.000). CONCLUSION: Intraday invasive surgical treatment of inguinal hernia can effectively reduce the cost of hospitalization, reduce the cost of medicines, shorten the average length of stay of patients, have a positive impact on the hospital income structure, and improve the hospital’s economic and social benefits.