摘要
目的研究喉癌手术患者住院费用的影响因素,为医疗管理部门制定相关政策与措施提供依据。方法收集某院耳鼻咽喉头颈外科2019年1月1日—2023年12月31日喉癌手术患者2418例,采用Spearman秩相关检验,Mann–Whitney U检验,Kruskal-Wallis H检验和多元线性逐步回归方法进行分析。结果喉癌患者住院费用的多元线性回归显示,喉癌手术患者住院费用影响因素分别为住院天数,其回归系数为0.349(P<0.001);是否伴有颈部淋巴结清扫,回归系数为0.322(P<0.001);手术持续时间,回归系数为0.191(P<0.001);是否为特需病房,回归系数为0.143(P<0.001);主要手术方式,回归系数为0.081(P<0.001);呼吸机使用时间,回归系数为0.076(P<0.001);是否进入监护室,回归系数为0.071(P<0.001);肿瘤T分期,回归系数为0.051(P<0.001);其他诊断个数,回归系数为0.037(P<0.001)。结论合理降低住院天数、尽可能在肿瘤原发部位早期及颈部淋巴结转移前早发现,早治疗、合理缩短手术时间,控制特需病房的数量是降低喉癌手术患者住院费用的有效途径。
Objectives This study aims to study the factors affecting hospitalization expenses of patients undergoing laryngeal cancer surgery and provide a basis for medical management departments to formulate relevant policies and measures.Methods A total of 2,418 cases of laryngeal cancer surgery patients from the Department of Otolaryngology-Head and Neck Surgery at a certain hospital between January 1,2019,and December 31,2023,were collected.Spearman rank correlation test,Mann-Whitney U test,Kruskal-Wallis H test,and multiple linear stepwise regression analysis were used for data analysis.Results Multiple linear regression analysis of hospitalization costs for patients with laryngeal cancer showed that the influencing factors were as follows:length of hospital stay(regression coefficient=0.349,P<0.001);whether neck lymph node dissection was performed(regression coefficient=0.322,P<0.001);duration of surgery(regression coefficient=0.191,P<0.001);admission to a special care ward(regression coefficient=0.143,P<0.001);primary surgical method(regression coefficient=0.081,P<0.001);duration of ventilator use(regression coefficient=0.076,P<0.001);ICU admission(regression coefficient=0.071,P<0.001);tumor T stage(regression coefficient=0.051,P<0.001);and number of additional diagnoses(regression coefficient=0.037,P<0.001).Conclusions Reasonably reducing the number of hospital stays,detecting the tumor as early as possible at the primary site and before cervical lymph node metastasis,early treatment,reasonably shortening the operation time,and controlling the number of special wards are effective ways to reduce the hospitalization costs of patients undergoing laryngeal cancer surgery.
作者
景金龙
陈雪
张琳
Jing Jinlong;Chen Xue;Zhang Lin(Department of Medical Records,Beijing Tongren Hospital,Capital Medical University,Beijing 100730,China;不详)
出处
《中国病案》
2025年第7期51-55,共5页
Chinese Medical Record
关键词
喉癌
住院费用
影响因素
多元线性回归
Laryngeal cancer
Hospitalization expenses
Influencing factors
Multiple linear regression
