CAJ | 학술논문

目的：分析肾移植术后患者发生泌尿道感染所造成的经济负担，为卫生行政部门制定政策提供科学依据。方法：采用整群抽样的方法，对某三甲医院2008年1月1日至2012年12月31日所有入住器官移植科进行肾移植手术并符合纳入标准的患者共339例进行研究。采用病例对照研究的方法，将肾移植术后发生泌尿道感染的80例患者作为感染组，同期未发生医院感染的259例患者作为对照组，比较两组患者的住院费用及住院天数差异。结果：感染组患者住院费用高于对照组，两者中位数差值为23307元，差异有统计学意义（P＜0.01）。在感染组患者的各项住院费用中，增加最多的是治疗费和西药费，其次为化验费。感染组和对照组住院费用中构成比占最多的均为西药费和治疗费。感染组患者较对照组患者延长住院天数6天，差异具有统计学意义（P＜0.05）。结论：肾移植术后患者发生泌尿道感染后经济负担较重，造成了患者、医院和国家医疗资源的浪费，因此应减少肾移植术后患者泌尿道感染的发生率，节约有限的医疗资源。
목적：분석신이식술후환자발생비뇨도감염소조성적경제부담，위위생행정부문제정정책제공과학의거。방법：채용정군추양적방법，대모삼갑의원2008년1월1일지2012년12월31일소유입주기관이식과진행신이식수술병부합납입표준적환자공339례진행연구。채용병례대조연구적방법，장신이식술후발생비뇨도감염적80례환자작위감염조，동기미발생의원감염적259례환자작위대조조，비교량조환자적주원비용급주원천수차이。결과：감염조환자주원비용고우대조조，량자중위수차치위23307원，차이유통계학의의（P＜0.01）。재감염조환자적각항주원비용중，증가최다적시치료비화서약비，기차위화험비。감염조화대조조주원비용중구성비점최다적균위서약비화치료비。감염조환자교대조조환자연장주원천수6천，차이구유통계학의의（P＜0.05）。결론：신이식술후환자발생비뇨도감염후경제부담교중，조성료환자、의원화국가의료자원적낭비，인차응감소신이식술후환자비뇨도감염적발생솔，절약유한적의료자원。
Objective:To investigate the economic burden caused by urinary tract infection among patients after renal transplantation, provide scientific references for the health administrative department making policies. Methods: Using of cluster sampling method to investigate 339 cases of patients in division of organ transplantation and in line with the integrated into the standard admitted to a hospital from January 1, 2008 to December 31, 2012. Case - control study was used, 80 patients with urinary tract infection after renal transplantation as a group of infection, 259 patients without nosocomial infection in the same period as the control group, compared the differences of two groups in hospitalization expenses and hospitalization days. Results: Hospitalization expenses in the infection group were higher than the control group, the median difference for the two was 23 307 yuan, the difference was statistically significant ( P<0.01) . In the hospitalization expenses of patients with urinary tract infection, treatment fees and western drug fees were the largest, followed by the test fees. The largest proportion in infection group and control group was western drug fees and treatment fees. Hospitalization days in patients with urinary tract infection extended of 6 days compared with the control group, the difference was statistically significant ( P<0.05) . Conclusion: For patients with urinary tract infection after renal transplantation, the economic burden increased, which result in the loss of patients, hospitals and national medical resources, therefore, it is needed to reduce the incidence of urinary tract infection in patients after renal transplantation and conserve limited medical resources.