医保患者日间腹腔镜胆囊切除术的费用分析

目的探讨医疗保险患者日间腹腔镜胆囊切除术的费用,降低患者医疗费用。方法在医疗保险患者中选择了36例日间腹腔镜胆囊切除术患者,32例常规腹腔镜胆囊切除术患者进行评价分析。结果日间腹腔镜胆囊切除术平均住院费用为5341.207±672.5696元,腹腔镜胆囊切除术平均住院费用为7308.413±533.6341元,两组比较差异显著（P〈0.01）,可降低医疗费用。两组手术全部成功,所有患者均未出现术后出血、感染等并发症。出院后腹胀ALC组2例,LC组3例。离院后发热ALC组3例,LC组2例。术后24小时后伤口疼痛者ALC组6例,LC组8例。以上均未予特殊处理自行缓解。结论日间腹腔镜胆囊切除术在临床中的应用,使患者降低费用的同时,保证医疗质量,又尽早康复,成效显著。

Cost Analysis of Medicare Patients of Ambulatory Laparoscopic Cholecystectomy

Objective To investigate the cost of medicare patients of ambulatory laparoscopic cholecystectomy,and reduce the cost of patient care.Methods 36 patients of ambulatory laparoscopic cholecystectomy were choosed in medicare patients,and evaluation and analysis have been done in 32 patients of them.Results The average hospital cost of ambulatory laparoscopic cholecystectomy is 5341.207±672.5696,and the cost of laparoscopic cholecystectomy is 7308.413±533.6341.The difference was significant(P<0.01),and the health care costs can be reduced.Surgery in all groups are successful,and no patient experienced postoperative bleeding,infection and other complications.ALC group with abdominal distention after discharge are 2 cases,LC group with abdominal distention after discharge are 3 cases.ALC group with fever after discharge are 2 cases,LC group with abdominal distention after discharge are 2 cases.ALC group with wound pain 24 hours after surgery are 6 cases,LC group with wound pain 24 hours after surgery are 8 cases.All the above is spontaneous remission without special treatment.Conclusion The use of ambulatory laparoscopic cholecystectomy in clinical reduce patient costs,ensure the quality of medical care.