糖尿病足患者住院费用调查及影响因素的研究

发布时间：2019-03-22 07:00

【摘要】：目的调查糖尿病足(DF)患者住院费用,分析其影响因素。方法对2009~2015年901例、1146例次DF患者进行回顾性调查,分析住院时间、住院费用及构成等。结果 2015年平均发病年龄较2009年减少5.7岁(x~2=45.89,P0.001)。糖尿病合并症及并发症、Wagner分级、年龄对患者住院时间及费用均有影响(P0.05)。消费价格指数经调整后,住院费用先增长后下降,以2012年最多(27629.6元);住院时间整体呈下降趋势,2015年较2009年减少15.5 d(x~2=61.16,P0.001);患者合并多种并发症,且并发症患病率逐年增加。结论 2009~2015年,DF患者的医疗费用先增长后下降,住院时间明显减少;发病人群以男性居多,且具有高龄化、病程长、高费用等特点。糖尿病患者应及早采取措施,严格控制血糖,降低糖尿病并发症,预防DF的发生。
[Abstract]:Objective to investigate the hospitalization expenses of diabetic foot (DF) patients and analyze the influencing factors. Methods A retrospective study was carried out in 901 patients with DF from 2009 to 2015. The length of hospitalization, hospitalization cost and composition were analyzed. Results the mean age of onset in 2015 was 5.7 years lower than that in 2009 (x / 2 / 45.89, P 0.001). Diabetic complications and complications, Wagner grade, and age all affected the length and cost of hospitalization (P0.05). After adjustment of consumer price index (CPI), hospitalization expenses first increased and then decreased to the highest in 2012 (RMB 27629.6), and the overall length of hospitalization showed a downward trend, decreasing by 15.5 days in 2015 compared with 2009 (xxx2x61.16, P0.001); Patients with multiple complications, and the incidence of complications increased year by year. Conclusion from 2009 to 2015, the medical expenses of patients with DF increased first and then decreased, and the length of hospitalization decreased significantly, and the majority of the patients were male, with the characteristics of high age, long course of disease, high cost and so on. Diabetic patients should take early measures to strictly control blood sugar, reduce diabetic complications, and prevent the occurrence of DF.
【作者单位】：安徽医科大学解放军306临床学院;解放军306医院全军糖尿病中心;解放军306医院信息科;
【基金】：解放军总装后勤部卫生局课题基金(15ZH006)
【分类号】：R587.2;R197.3

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