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目的以急性单纯性阑尾炎为例,从效益与疗效二个维度研究最佳住院日。方法经过筛选,从出院病人病案中选取608份阑尾炎病例,按住院天数统计日均费用、治愈率,分别与病床支出、平均治愈率作比较分析。结果基于病床效益的最佳住院日为不长于4天,基于治愈率的最佳住院日为7天。结论急性单纯性阑尾炎的最佳住院日为7天,条件许可时,可考虑提早出院。
Objective To study the best hospitalization days from the two dimensions of benefit and efficacy with acute simple appendicitis. Methods After screening, 608 cases of appendicitis were selected from the medical records of discharged patients. The daily average cost and the cure rate were calculated according to the days of hospitalization, and were respectively compared with the expenditure of beds and the average cure rate. Results The best hospital stay based on bed benefit was no longer than 4 days and the best hospital stay based on cure rate was 7 days. Conclusions The best length of hospital stay for acute simple appendicitis is 7 days. When conditions permit, early discharge may be considered.