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目的调查汕头市潮南区住院糖尿病足(diabetic foot,DF)患者的经济负担情况。方法选择汕头潮南民生医院2014年1月至2015年12月住院部收治的88例农村糖尿病足患者为研究对象,分析其临床特点及住院费用。结果 88例糖尿病足患者平均年龄为(66.6±11.0)岁,中学以下文化占98.9%,平均Hb A1c为(10.23±2.90)%,平均合并症为(2.56±1.34)种。平均住院时间为13(8.5~22.0)d,平均治疗总费用为11 241.32(8 073.20~17 557.41)元,其中平均药物费为6 072.11(3 996.92~9 497.81)元、平均检验费为1 368.19(989.49~1 919.36)元、平均检查费为996.7(507.9~1 552.0)元。患者住院天数在不同Wagner分级的组间差异有统计学意义(P<0.05);住院总费用、药物费用在不同Wagner分级间差异无统计学意义(P>0.05)。结论汕头农村地区糖尿病足患者具有年龄大、文化程度低、血糖控制不良、合并症多的特点,住院费用高昂,采用多种措施减少糖尿病足的发生是降低住院费用的关键环节。
Objective To investigate the economic burden of hospitalized diabetic foot (DF) in Chaonan District, Shantou City. Methods 88 cases of rural diabetic foot admitted to the Inpatient Department of Shantou Chaonan Minsheng Hospital from January 2014 to December 2015 were selected as the study objects, and their clinical characteristics and hospitalization costs were analyzed. Results The average age of 88 diabetic foot patients was (66.6 ± 11.0) years old, 98.9% of whom had secondary or lower education. The average Hb A1c was (10.23 ± 2.90)% and the average complication was (2.56 ± 1.34). The average length of hospital stay was 13 (8.5-22.0) days, and the average treatment cost was 11 241.32 (8 073.20- 17 557.41) yuan, of which the average drug cost was 6 072.11 (3996.92 ~ 9 497.81) yuan and the average examination fee was 1 368.19 (989.49 ~ 1 919.36) yuan, the average examination fee is 996.7 (507.9 ~ 1 552.0) yuan. There was significant difference between the days of hospitalization in different Wagner grades (P <0.05). There was no significant difference in the total cost of hospitalization and medication between different Wagner grades (P> 0.05). Conclusion Diabetic foot patients in rural areas of Shantou have the characteristics of older age, lower education level, poor blood sugar control, more complications and high hospitalization costs. Various measures to reduce the incidence of diabetic foot are the key points to reduce hospitalization costs.