经蝶垂体瘤切除术患者住院费用的影响因素

目的通过对经蝶垂体瘤切除术患者住院费用影响因素的分析，为制定临床路径，控制医疗费用的不合理增长提供参考。方法收集南通市某三甲医院2008-2009年实施经蝶垂体瘤切除术患者的住院资料，采用线性回归分析获取影响住院费用的因素。结果药费、术中耗材费、检查费、住院总时问是影响经蝶垂体瘤切除术患者住院费用的主要因素。结论避免过度医疗，合理降低药费、术中耗材费、检查费，缩短住院天数是控制经蝶垂体瘤切除术患者住院费用过快增长的关键。

Influencing factor hospitalization expenses in patients undergone transsphenoidal pituitary tumor resection

Objective To analyze the main factors that influence the hospitalization expenses in patients undergone transsphenoidal pituitary tumor resection so as to provide basis for the development of clinical pathways and the control of irrational increase in medical expenses.Methods Data of patients undergone transsphenoidal pituitary tumor resection in our hospital in the years of 2008 and 2009 was collected.Statistical analysis was performed by using multinomial linear regression analysis.Results The major factors influencing the hospitalization expenses in pafients undergone transsphenoidal pituitary tumor resection included drug fees,material fees in operation,inspection fees and length of stay.Conclusions Avoiding overtreatment,reasonably lowering the drug fees,material fees in operation and inspection fees,as well as reducing the length of stay were the key to the control of the excessive growth of hospitalization expenses in patients undergone transsphenoidal pituitary tumor resection.