结直肠手术后并发症的卫生经济学分析
Health economic evaluation of patients with postoperative complications after colorectal surgery
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摘要: 结直肠术后并发症是影响患者术后健康的重要原因之一,也是增加医疗负担的重要因素。通过卫生经济学分析,明确不同结直肠术后并发症的卫生经济学负担,可以为卫生政策制定者提供更明确的依据,优化合理分配医疗资源。笔者详细检索国内外文献,对结直肠术后吻合口漏、手术部位感染和术后肠梗阻的医疗费用增长、住院时间延长进行分析,总结出不同医学中心并发症相关临床研究中存在的不足,以期更好地引导未来结直肠术后并发症相关临床研究。Abstract: Postoperative complications of colorectal surgery are one of the most important reasons affecting patients' postoperative health and also an important factor increasing the burden of medical care. It can give policymakers a basis to the optimization of medical resources by clarifying the health economic burden of different postoperative complications through health economic evalua-tion. Through a detailed search of domestic and foreign literatures, the authors summarize and analyze the increased medical costs and prolonged hospital stays associated with postoperative anastomotic leak, surgical site infection, and postoperative ileus. Furthermore, the authors identify shortcomings in existing clinical studies of different mediacal centers for colorectal postoperative complications, in order to better guide future clinical researches related to colorectal postoperative complications.