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江苏卫生事业管理:2023,Vol.>>Issue(9):1253-1257
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南通市肝硬化患者住院费用分析△
吴俊霞*,李育梅
(南通市第三人民医院、南通大学附属南通第三医院综合统计科)
Analysis of Clinical Features and Hospitalization Costs of Patients with Cirrhosis in Nantong City△
WU Junxia*,LI Yumei
(Comprehensive Statistics Department,Nantong Third People’s Hospital,Nantong University)
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中文摘要: 目的:描述某市肝硬化患者的病因构成和临床特征,分析不同病因肝硬化患者的临床特征和住院费用,为肝硬化的临床诊治和相关部门的医疗决策提供参考依据。方法:采集2021年某三级甲等传染病专科医院出院主要诊断 ICD-10 编码为 K70.2、K70.3、K71.7、K74、K76.1、P78.8的出院患者信息,包括性别、年龄、临床特征、住院总费用及其明细。应用卡方检验和非参数检验分析不同病因肝硬化患者的临床特征和住院费用情况。结果:肝硬化患者的主要病因是病毒性感染,占64.6%;主要临床特征是静脉曲张,占26.5%。不同年龄的肝硬化患者感染性疾病和静脉曲张的发生率以及不同病因的肝硬化患者感染性疾病、门脉高压、静脉曲张和电解质紊乱的发生率和不同年龄和病因的肝硬化患者的住院总费用的差异均具有统计学意义(P<0.05)。结论:明确肝硬化患者的病因,针对病因及临床特征积极治疗以防止或延缓病情进一步恶化。规范诊疗、合理用药及防止过度检查以有效控制住院费用。
中文关键词: 肝硬化  病因  临床特征  住院费用
Abstract:Objective:To describe the etiology and clinical characteristics of patients with cirrhosis in a certaincity,and to analyze the clinical characteristics and hospitalization costs of patients with cirrhosis of different etiology,so as to provide reference for the clinical diagnosis and treatment of cirrhosis and the medical decision-making of related departments. Methods:Information of discharged patients with main diagnosis ICD-10 code K70.2,K70.3,K71.7,K74,K76.1 and P78.8 from a certaintertiary infectious disease specialized hospital in 2021 was collected,including:gender,age,clinical features,total hospitalization expenses and details. Chi-square test and nonparametric test were used to analyze the clinical features and hospital expenses of patients with cirrhosis of different etiology. Results:The main cause of liver cirrhosis was viral infection,accounting for 64.6%,and the main clinical feature was varicose veins,accounting for 26.5%. The rates of infectious diseases and varicose veins were different in cirrhosis patients of different ages. The incidence of infectious diseases,portal hypertension,varicose veins and electrolyte disorders were different in patients with cirrhosis with different etiologies,and the differences were statistically significant. There were significant differences in the total cost of hospitalization among patients with cirrhosis of different ages and causes. Conclusion:The etiology of patients with cirrhosis should be clearly identified and active treatment should be conducted according to the etiology and clinical characteristics to prevent or delay the further deterioration of the disease. Standardize diagnosis and treatment,rational drug use and prevent excessive examination to effectively control hospital expenses.
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基金项目:江苏省医院协会管理创新专项研究课题(JSYGY-3-2021-PJ108);南通市卫生健康委员会科研课题(MB2021059) 江苏省医院协会管理创新专项研究课题(JSYGY-3-2021-PJ108);南通市卫生健康委员会科研课题(MB2021059)
引用文本:
吴俊霞*,李育梅.南通市肝硬化患者住院费用分析△[J].江苏卫生事业管理,2023,34(9):1253-1257.
WU Junxia*,LI Yumei.Analysis of Clinical Features and Hospitalization Costs of Patients with Cirrhosis in Nantong City△[J].Jiangsu Health System Management,2023,34(9):1253-1257.

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