目的了解腹股沟疝手术住院费用的影响因素,为加强住院费用控制提供循证依据。方法采集某院2012年-2016年腹股沟疝手术出院患者数据,选择具有代表意义的总费用、床位费、护理费、药品费、化验费、诊疗费、手术费、检查费、材料费和其他费等指标进行综合分析,以住院总费用为参考序列,以床位费、护理费等为比较数列,运用新灰色关联分析对相关指标进行分析。结果结果显示,与住院总费用关联度最大的影响因素依次是材料费,关联度是1;药品费,关联度是0.8023;手术费,关联度是0.7909;与实际情况相符。结论材料费、药品费的调控是控制腹股沟疝手术住院费用的关键,建议随着新医改的推进继续加大对药品、耗材流通机制及定价机制的管理,合理管控住院费用。 Objective To understand the influencing factors of hospitalization costs for inguinal hernia surgery and provide evidence-based basis for strengthening hospitalization cost control. Methods Data of patients discharged from a hospital during inguinal hernia surgery from 2012 to 2016 were collected, and the representative total expenses, bed fees, nursing fees, medical expenses, laboratory fees, medical expenses, surgical fees, examination fees, material fees, and other fees were selected. The indicators were used for comprehensive analysis. The total cost of hospitalization was used as a reference sequence. Bed fees and nursing fees were used as comparison series. New gray correlation analysis was used to analyze related indicators. The results showed that the most influential factors related to the total cost of hospitalization were the material fee, the degree of relevance was 1, the cost of medicine, the degree of association was 0.8023, the cost of surgery, and the degree of association was 0.7909, which was consistent with the actual situation. Conclusion The control of material fees and drug charges is the key to controlling the inpatient cost of inguinal hernia surgery. It is suggested that as the new medical reform advances, the management of the circulation mechanism and pricing mechanism of drugs and consumables will continue to be managed, and hospitalization costs will be reasonably controlled.