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目的分析老年妇女生殖系统常见恶性肿瘤直接医疗费用情况,为有效控制老年人医疗费用提供科学依据。方法分别抽取兰州市某综合医院和肿瘤专科医院11年间老年妇女生殖系统4种常见恶性肿瘤患者病案资料并进行统计分析。结果老年妇女生殖系统常见恶性肿瘤的发病高峰主要集中在60~65岁。1996~2006年4种恶性肿瘤人均住院总费用平均为7 760.68元,呈上升趋势,平均增长速度4.64%。日均住院总费用平均为356.37元,且以8.79%的平均速度增长。结论恶性肿瘤是危害老年人健康的主要问题,同时给老年人及社会造成沉重的经济负担。加强一级和二级预防是降低老年性疾病经济负担及提高老年人群生活质量的根本措施。
Objective To analyze the direct medical costs of common malignant tumors in the reproductive system in elderly women and provide a scientific basis for effectively controlling the medical expenses of the elderly. Methods The medical records of 4 common malignant tumors of the reproductive system of elderly women in a general hospital and oncology specialist hospital in Lanzhou for 11 years were collected and analyzed statistically. Results The incidence of common malignant tumors in the elderly women mainly concentrated in the 60 to 65 years old. From 1996 to 2006, the average cost of hospitalization for four kinds of malignancies averaged 7 760.68 yuan, showing an upward trend with an average growth rate of 4.64%. The average daily hospitalization cost averaged 356.37 yuan, and increased at an average rate of 8.79%. Conclusions Malignant tumors are the major problems that endanger the health of the elderly and cause heavy economic burden on the elderly and the community at the same time. Strengthening primary and secondary prevention is the fundamental measure to reduce the economic burden of senile diseases and improve the quality of life of the elderly.