摘要
目的探讨基于不同表面技术设计下的血流导向密网支架(Flow Diverter,FD)在颅内动脉瘤治疗中的手术患者费用及使用情况变化,分析该耗材在临床使用中产生的经济性影响。方法建立首都医科大学宣武医院FD耗材使用目录,以支架是否采用表面处理技术(是、否)分为2组;以支架采用何种表面处理技术(无表面处理、表面涂层处理、表面抛光处理)分为3组。通过计算例均耗材数量(金额)、例均FD数量、例均FD数量占比、例均FD金额占比等参数,对2020年1月至2025年3月耗材使用数据进行统计学分析。结果2020—2025年,例均耗材数量逐年减少,差异有统计学意义(H=260.870,P<0.001);例均耗材金额下降,差异有统计学意义(H=412.300,P<0.001)。不同表面处理技术下,例均耗材数量、例均耗材金额差异均有统计学意义(P<0.05);耗材使用数量差异不显著,但使用涂层技术支架的耗材总金额显著增加(P<0.05)。结论使用不同表面处理技术的FD治疗颅内动脉瘤,患者使用耗材总数量、总金额及支架单价差异明显,研究其对治疗的费用影响可以为耗材标准化和精细化管理、医院成本控制提供数据基础。
Objective To investigate the changes in surgical patient costs and utilization of flow diverter(FD)(designed based on different surface technologies)in the treatment of intracranial aneurysms,and to analyze the economic impact of this consumable in clinical practice.Methods The FD consumable utilization catalog of Xuanwu Hospital,Capital Medical University was established.Stents were categorized into 2 groups by whether surface treatment technology was applied(yes/no),and into 3 groups by the type of surface treatment(no surface treatment,surface coating treatment,surface polishing treatment).Statistical analysis was performed on the hospital’s consumable utilization data(from January 2020 to March 2025)by calculating parameters including the average number(amount)of consumables per case,average number of FDs per case,average proportion of FD quantity per case,and average proportion of FD amount per case.Results From 2020 to 2025,the average number of consumables per case decreased year by year,with a statistically significant difference(H=260.870,P<0.001);the average amount of consumables per case also decreased,with a statistically significant difference(H=412.300,P<0.001).Under different surface treatment technologies,the differences in the average number and amount of consumables per case were statistically significant(P<0.05);there was no significant difference in consumable quantity,but the total consumable amount for stents using coating technology increased significantly(P<0.05).Conclusion When FDs with different surface treatment technologies are used for intracranial aneurysm treatment,there are significant differences in the total quantity/amount of consumables used by patients and the unit price of stents.Studying its impact on treatment costs can provide a data basis for standardized/refined consumable management and hospital cost control.
作者
吴萍
花城
李东
荣瑶
郭霜
董硕
吴航
WU Ping;HUA Cheng;LI Dong;RONG Yao;GUO Shuang;DONG Shuo;WU Hang(Department of Medical Engineering,Xuanwu Hospital,Capital Medical University,Beijing 100053,China)
出处
《中国医疗设备》
2025年第12期31-35,共5页
China Medical Devices
基金
《中国医疗设备》杂志社课题(2025-CMDKT-01-001)。
