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目的对某院住院手术情况进行专题分析,为医院领导提供决策参考;方法运用powerbuilder9.0和EXCEL对病案统计数据库中2007年、2008年数据进行筛选和分类统计;结果手术量同比增长明显,术前住院日稍长,住院患者手术率不高,腹腔镜阑尾切除术等术种开展例数增长明显,子宫下段剖宫产术等术种开展例数有所下降,腔镜手术和介入造影手术开展术种和例数不够;结论手术对医院经济效益明显,手术质量需进一步提高,手术的发展趋向于微创化、介入化、内科化,应大力开展腔镜和介入手术,进一步缩短平均术前住院日,完善手术管理,防范医疗纠纷,充分利用有限的卫生资源,提高医院的社会效益和经济效益,增强医院核心竞争力。
Objective To analyze the hospitalization situation of a hospital and provide decision-making reference for the hospital leaders. Methods Powerbuilder9.0 and EXCEL were used to screen and classify the data of 2007 and 2008 in the medical records database. Results The operation volume increased significantly year-on-year, Former hospitalized a little longer, hospitalized patients surgery rate is not high, laparoscopic appendectomy and other kinds of cases to increase the number of cases, the lower uterine segment cesarean section and other surgical procedures to reduce the number of cases, endoscopic surgery and interventional angiography The number of operation and the number of cases were not enough. CONCLUSIONS: The economic benefits of surgery are obvious to the hospital, the quality of the operation needs to be further improved. The development of the operation tends to be minimally invasive, interventional and internalized. Laparoscopic and interventional procedures should be vigorously carried out to further shorten the average operation Former hospitalization days, improve surgical management, prevent medical disputes, make full use of limited health resources, improve the hospital’s social and economic benefits, and enhance the hospital’s core competitiveness.