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目的分析天津市西青医院2型糖尿病患者住院费用的影响因素,为控制糖尿病的疾病负担提供科学依据。方法收集2014年天津市西青医院2型糖尿病住院患者的病历资料。采用方差分析对不同合并症和合并不同数量疾病的2型糖尿病患者的住院费用和住院天数进行比较。结果不同合并症的2型糖尿病患者的日均住院费用和住院天数差异均有统计学意义(P<0.01)。合并冠心病与合并脑卒中的2型糖尿病患者的日均住院费用和住院天数均高于未合并这2种疾病的患者,差异均有统计学意义(P<0.05)。随着合并疾病数量的增多,日均住院费用、总住院费用和住院天数逐渐增加,差异均有统计学意义(P<0.01)。结论糖尿病患者伴有冠心病和(或)脑卒中,或伴有多种其他疾病可增加糖尿病的疾病负担,消耗更多的卫生资源。
Objective To analyze the influencing factors of hospitalization costs of type 2 diabetic patients in Xiqing Hospital of Tianjin and to provide a scientific basis for controlling the disease burden of diabetes mellitus. Methods The medical records of type 2 diabetes hospitalized patients in Tianjin Xiqing Hospital in 2014 were collected. An analysis of variance was used to compare hospitalization and hospitalization days for patients with different comorbidities and those with different numbers of illnesses. Results There were significant differences in the average hospitalization costs and days of hospitalization between type 2 diabetic patients with different comorbidities (P <0.01). The average daily hospitalization and hospital stay in patients with type 2 diabetes mellitus complicated with coronary heart disease and those with stroke were significantly higher than those without these two diseases (P <0.05). With the increase of the number of combined diseases, the average daily hospitalization expenses, total hospitalization expenses and days of hospitalization gradually increased, with statistical significance (P <0.01). Conclusion Diabetes patients with coronary heart disease and / or stroke, or with a variety of other diseases can increase the burden of diabetes and consume more health resources.