摘要
目的分析北京市三级医院2019年结直肠癌手术患者疾病相关信息,探讨中医药干预对结直肠癌手术患者住院费用的影响,为北京市结直肠癌防治策略提供参考依据。方法以北京市38家三级医院(西医院10家,中医院28家)住院病案首页数据为基础,采用回顾性研究方法,从病案信息系统中导出2019年1月1日-2019年12月31日38家三级医院肿瘤外科64041例住院患者病案资料,根据纳入及排除标准筛选出结直肠癌手术患者8677人,采用Excel、SQL建立数据库,SPSS20.0统计分析,主要方法包括统计描述、线性回归、通径分析等。探究结直肠癌围手术期患者住院费用的差别,分析相关的影响因素。结果数据分析发现,住院费用与手术方式、发生并发症和住院天数呈正相关,开腹术式、住院期间发生并发症和住院天数的延长均会增加住院费用。住院费用与性别和是否联合中医药治疗呈负相关,表明女性和联合中医药治疗能够在一定程度上减少住院费用。结论中医药干预对降低住院费用有潜在作用,但中医药干预对结直肠癌的受益评估仍需结合多种方式进行。
Objective By means of analyzing the disease-related information of patients undergoing colorectal cancer surgery in Beijing′s tertiary hospitals during 2019,exploring the effect of traditional Chinese medicine intervention on hospitalization costs of inpatients undergoing colorectal cancer surgery so as to provide a reference for the prevention and treatment strategies of colorectal cancer in Beijing.Methods The research was based on the first page data of inpatient medical records of 38 tertiary hospitals in Beijing(include 10 western hospitals and 28 traditional Chinese medicine hospitals).Retrospective analysis was used to analyze the medical record data of 64041 inpatients in tumor surgery of 38 tertiary hospitals from January 1,2019 to December 31,2019 which were derived from the medical record information system.According to inclusion and exclusion criteria,8677 patients undergoing colorectal cancer surgery were selected.The database was established by Excel and SQL,SPSS20.0 was used to statistical analysis.The main statistical methods include statistical description,linear regression analysis,path analysis etc.Exploring the differences of inpatients undergoing colorectal cancer surgery in the expenses of stay during hospitalization,in order to analyze the related influencing factors.Results The data analysis found that hospitalization costs were positively correlated with surgical methods,complications and length of hospital stay.Type of operation,complications during hospitalization and prolonged hospital stay all increase hospital costs.Hospitalization costs were negatively correlated with gender and whether combined with traditional Chinese medicine treatment which is indicating that women and treatment combined with traditional Chinese medicine could reduce hospitalization costs to a certain extent.Conclusions Traditional Chinese medicine intervention has potential effect on reducing hospitalization costs.However,the evaluation of the benefit of traditional Chinese medicine intervention on colorectal cancer still needs more research to evaluate.
作者
庞震
胡广域
翟嘉威
郭慧君
李秋艳
杨宇飞
程伟
杨怀中
Pang Zhen;Hu Guangyu;Zhai Jiawei;Guo Huijun;Li Qiuyan;Yang Yufei;Cheng Wei;Yang Huaizhong(Xiyuan Hospital of CACMS,Beijing 100091,China;Graduate School of Beijing University of Chinese Medicine,Beijing 100029,China)
出处
《世界科学技术-中医药现代化》
CSCD
北大核心
2023年第2期502-508,共7页
Modernization of Traditional Chinese Medicine and Materia Medica-World Science and Technology
基金
北京市中医药管理局委托项目(04-141):北京市中医肿瘤年鉴制定-恶性肿瘤数据治理及大数据分析,负责人:刘剑
关键词
病案首页
结直肠癌
中医药
手术
费用
First page of medical record
Colorectal cancer
Traditional Chinese medicine
Operation
Cost
作者简介
通讯作者:杨怀中,主任医师,主要研究方向:中西医结合肿瘤防治研究。
