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目的:分析先天性心脏病患者的直接医疗费用及应用伤残调整生命年(DALY)对该病疾病负担进行综合评价。方法:采用SPSS 13.0统计软件进行数据录入,资料整理、分析和统计;采用描述性统计分析、方差分析和多元逐步回归分析,同时引用新的评价指标DALY来分析先天性心脏病的疾病负担。结果:2 328例住院患者的人均损失健康生命年为3.85人年,其中男性平均损失4.48人年,女性平均损失3.39人年;0～14岁年龄组人均损失健康生命年最多为5.07人年;不同年龄组、不同出院情况、不同职业、手术与否,平均住院费用均有显著差异。结论:先天性心脏病疾病负担较重,尤其是年龄较低的人群,防治地位十分突出。
OBJECTIVE: To analyze the direct medical costs of patients with congenital heart disease and evaluate the disease burden by using disability adjusted life years (DALY). Methods: SPSS 13.0 statistical software was used to input data, collate data, analyze and count data. Descriptive statistical analysis, variance analysis and multivariate stepwise regression analysis were used to analyze the disease burden of congenital heart disease with the new evaluation index DALY. Results: The average number of years of healthy life lost by 2 328 inpatients was 3.85 person-years, of whom the average loss of men was 4.48 person-years and the average loss of women was 3.39 person-years. The average number of years of healthy life lost in the age group of 0-14 was 5.07 person- Different age groups, different discharge conditions, different occupations, surgery or not, the average cost of hospitalization were significantly different. Conclusion: Congenital heart disease is more burdensome for disease, especially for the younger population, and its prevention and control status is very prominent.