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目的本研究以遂宁城区子宫肌瘤患者住院费用为例,找出影响住院费用的关键因素并针对关键因素采取控制措施。方法对2013年1月至2015年8月遂宁城区医院数据上报系统诊断为子宫肌瘤的全部患者1 955例,采用帕累托定律对费用构成的主要原因进行描述,建立神经网络模型分析住院费用影响因素的敏感度,并对影响住院费用的重要因素进行单因素方差分析。结果影响患者住院费用的主要因素为住院日(0.480)、手术操作(0.229)、年龄(0.102)。结论综合住院费用、住院日、费用构成比来讲,高强度聚焦超声治疗从治疗费用的角度来看是目前子宫肌瘤较为合理的治疗方式。
Objective To study the hospitalization costs of patients with uterine fibroids in Suining City as an example to find out the key factors affecting hospitalization costs and take control measures for the key factors. Methods From January 2013 to August 2015, 1 955 patients diagnosed as uterine leiomyoma were enrolled in Suining City Hospital Data Reporting System. Pareto’s law was used to describe the main causes of expenses, and a neural network model was established to analyze hospitalization costs The sensitivity of influencing factors, and one-way ANOVA analysis of the important factors affecting hospitalization costs. Results The main factors influencing hospitalization cost were length of stay (0.480), operation (0.229), and age (0.102). Conclusion Comprehensive hospitalization costs, hospitalization days, cost composition ratio, high intensity focused ultrasound treatment from the perspective of the cost of treatment is the more reasonable treatment of uterine fibroids.