影响肺癌手术住院费用和快速康复的临床因素分析 苏建华.docxVIP

影响肺癌手术住院费用和快速康复的临床因素分析 苏建华 影响肺癌手术住院费用和快速康复的临床因素分析lowbar;苏建华 DOI:10.3779/j.issn.1009-3419.2021.07.06 ·CMDATS年会专题· 影响肺癌手术住院费用和快速康复的 苏建华 喻鹏铭 周渝斌 蒲强 何成奇 刘伦旭 车国卫 【摘要】 背景与目的 肺癌手术方式变化对其住院费用和快速康复的影响不太明确，本研究旨在探讨肺癌患者外科治疗住院费用和术后快速康复的临床影响因素。方法 收集2021年1月-2021年10月华西医院胸外科单个医疗组176例肺癌手术病例的临床资料进行分析。结果 胸腔镜肺叶切除术组住院费用（video-assisted thoracic surgery, VATS）（47,308.21 ￥）高于开胸手术组（45,664.31 ￥）（P=0.007）； 体重指数（body mass index, BMI）≥24 kg/m患者的住院费用（51,186.99 ￥）高于BMI 【关键词】 住院费用；快速康复；外科治疗；肺癌 Jianhua SU1, Pengming YU1, Yubin ZHOU2, Qiang PU2, Chengqi HE1, Lunxu LIU2, Guowei CHE2 Department of Rehabilitation Medicine; 2Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu 610041, China Corresponding author: Guowei CHE, E-mail: guowei_che@yahoo. com 【Abstract】 Background and objective It is unknown that the postoperation fast-track recovery and in hospital cost of the lobectomy in lung cancer, we explored the influencing factor of postoperative fast-track recovery and in hospital cost after undergoing lobectomy for lung cancer. Methods We retrospectively reviewed the medical records of all patients (n=176) who underwent lobectomy for lung cancer between January 2021 and November 2021 by a thoracic surgeon. Results The hospital costs of video-assisted thoracic surgery (VATS) lobectomy (47,308.21 ￥) is significantly higher than open lobectomy (45,664.31 Influencing Factor of Postoperation Fast-track Recovery and in Hospital Cost after Lobctomy for Lung Cancer ￥)(P=0.007). The hospital costs of body mass index (BMI) ≥ 24 kg/m2 (51,186.99 ￥) is significantly higher than BMI 【Key words】 In-hospital cost; Fast-track recovery; Surgery treatment; Lung neoplasms 肺癌的治疗仍是以手术为主的多学科综合治疗。外科治疗费用和术后并发症是肺癌患者关心的主要问题，也是医患产生矛盾的关键所在。分析当前外科治疗肺癌的住院费用构成和影响术后的并发症成为必然。肺癌患者术前的嗜好（如吸烟）和身体状况（如是否肥胖）及手术方式和肺康复训练 [3,4][1] 的确切影响仍不清楚。有研究表明肺癌胸腔镜肺叶切除术（video-assisted thoracic surgery, VATS）增加了手术材料费，降低了药费，而总体费用却变化不大，甚至还有降低。但是国内却没有相关报道。本研究