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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,P<0.001)。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(P<0.05)。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,P<0.001);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。
Objective To investigate the hospitalization expenses of patients with diabetic foot (DF) and analyze the influencing factors. Methods The data of 901 cases and 1,146 cases of DF from 2009 to 2015 were retrospectively analyzed, and the length of stay, cost and composition of hospitalization were analyzed. Results The average age of onset in 2015 was 5.7 years lower than that in 2009 (x ~ 2 = 45.89, P <0.001). Diabetic complications and complication, Wagner classification, and age had significant effects on hospitalization duration and cost (P <0.05). After adjustment for the consumer price index, the hospital expenses first increased and then decreased, with the highest in 2012 (RMB 27,629.6); the length of hospital stay showed a downward trend overall, a decrease of 15.5 days in 2015 compared with 2009 (x ~ 2 = 61.16, P <0.001); Patients with a variety of complications, and the prevalence of complications increased year by year. Conclusion From 2009 to 2015, the medical costs of DF patients first increased and then decreased, and the length of hospital stay decreased significantly. Most of the patients were male, with the characteristics of aging, long duration and high cost. Diabetes patients should take early measures to strictly control blood sugar, reduce complications of diabetes, prevent the occurrence of DF.