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目的通过回顾性比较膝关节镜日间手术与非日间手术模式的卫生经济学相关指标,评价膝关节镜日间手术运行模式的卫生经济学效果。方法选择2014年8月-2015年6月行膝关节镜手术治疗的232例患者,将采用膝关节镜日间手术的138例患者作为日间组,同期在普通病房行膝关节镜手术治疗的94例患者作为非日间组,比较两组患者的平均住院费用、药费、材料费、治疗费、等候手术时间、平均住院时间、满意度和并发症发生率等指标。结果非日间组患者的平均满意度为94.89%,日间组患者的平均满意度为96.27%。日间组患者的平均总费用、药费、材料费和治疗费明显低于非日间组,两组差异有统计学意义(P<0.05)。非日间组患者的平均等候手术时间为(2.37±1.77)d,平均住院时间为(5.22±2.49)d;日间组患者当日住院当日手术,平均等候手术时间为0 d,平均住院时间为1 d。两组患者的等候手术时间和平均住院时间比较差异有统计学意义(P<0.05)。两组患者的并发症发生率比较差异无统计学意义(P>0.05)。结论膝关节镜日间手术与非日间手术相比,日间手术在提高床位周转率、医疗资源的利用率及大幅度降低住院费用方面具有明显的优势。
Objective To evaluate the hygienic economics of knee arthroscopy during daytime operative operation by retrospectively comparing the indexes of health economics between knee surgery and non-day surgery modes. Methods From August 2014 to June 2015, 232 patients who underwent knee arthroscopic surgery were enrolled. 138 patients undergoing knee arthroscopy day surgery were selected as daytime group and knee arthroscopy was performed in general ward at the same period. 94 patients as non-day group, the average hospitalization costs, drug costs, materials costs, treatment costs, waiting time for surgery, average length of stay, satisfaction and complication rates were compared between the two groups. Results The average satisfaction of patients in non-day group was 94.89%. The average satisfaction of patients in day group was 96.27%. The average total cost, drug cost, material fee and treatment cost of patients in daytime group were significantly lower than those in non-daytime group, the difference was statistically significant (P <0.05). The average waiting time for operation was (2.37 ± 1.77) d and (5.22 ± 2.49) days for non-daytime patients, respectively. Daytime patients were hospitalized on the day of operation, the average waiting time for operation was 0d, and the average length of stay was 1 d. The waiting time and average length of stay of two groups of patients were significantly different (P <0.05). There was no significant difference in the complication rates between the two groups (P> 0.05). CONCLUSIONS: Compared with non-day surgery, daytime knee arthroscopy has obvious advantages in improving the turnover rate of beds, utilization of medical resources and greatly reducing hospitalization costs.