中华创伤杂志
中華創傷雜誌
중화창상잡지
Chinese Journal of Traumatology
2012年
12期
1120-1124
,共5页
李齐寅%韩春茂%胡行%王新刚
李齊寅%韓春茂%鬍行%王新剛
리제인%한춘무%호행%왕신강
回顾性研究%截肢术%费用,医疗
迴顧性研究%截肢術%費用,醫療
회고성연구%절지술%비용,의료
Retrospective studies%Amputation%Cost,medical
目的 调查2007-2011年单中心总体截肢情况,分析各不同病因截肢患者的人口学特征、临床特点和住院费用,并分析其与截肢的相关性. 方法 回顾性调查浙江大学附属第二医院在2007-2011年上半年所有截肢患者,详细记录其人口学特征、病种、既往史、本次入院临床信息、截肢部位、截肢平面、住院时间、住院费用等信息. 结果 2007-2011年上半年,浙江大学附属第二医院截肢患者共805例,其中男占72.3％；年龄(42.1±18.1)岁.从事农业、工业和运输业等行业者占69.7％.创伤截肢占总体66.1％,其次为肿瘤截肢占15.3％,糖尿病截肢占4.5％,占非创伤性截肢的13.2％.下肢截肢占64.9％,掌指/跖趾关节以上平面截肢占61.7％.截肢患者平均住院时间为20d(14～34 d),平均住院费用15 000元(8 881～31 975元). 结论 截肢患者仍以青壮年男性为主,创伤是其主要原因,高位截肢、住院时间长、医疗费用高是其主要特点.
目的 調查2007-2011年單中心總體截肢情況,分析各不同病因截肢患者的人口學特徵、臨床特點和住院費用,併分析其與截肢的相關性. 方法 迴顧性調查浙江大學附屬第二醫院在2007-2011年上半年所有截肢患者,詳細記錄其人口學特徵、病種、既往史、本次入院臨床信息、截肢部位、截肢平麵、住院時間、住院費用等信息. 結果 2007-2011年上半年,浙江大學附屬第二醫院截肢患者共805例,其中男佔72.3％；年齡(42.1±18.1)歲.從事農業、工業和運輸業等行業者佔69.7％.創傷截肢佔總體66.1％,其次為腫瘤截肢佔15.3％,糖尿病截肢佔4.5％,佔非創傷性截肢的13.2％.下肢截肢佔64.9％,掌指/蹠趾關節以上平麵截肢佔61.7％.截肢患者平均住院時間為20d(14～34 d),平均住院費用15 000元(8 881～31 975元). 結論 截肢患者仍以青壯年男性為主,創傷是其主要原因,高位截肢、住院時間長、醫療費用高是其主要特點.
목적 조사2007-2011년단중심총체절지정황,분석각불동병인절지환자적인구학특정、림상특점화주원비용,병분석기여절지적상관성. 방법 회고성조사절강대학부속제이의원재2007-2011년상반년소유절지환자,상세기록기인구학특정、병충、기왕사、본차입원림상신식、절지부위、절지평면、주원시간、주원비용등신식. 결과 2007-2011년상반년,절강대학부속제이의원절지환자공805례,기중남점72.3％；년령(42.1±18.1)세.종사농업、공업화운수업등행업자점69.7％.창상절지점총체66.1％,기차위종류절지점15.3％,당뇨병절지점4.5％,점비창상성절지적13.2％.하지절지점64.9％,장지/척지관절이상평면절지점61.7％.절지환자평균주원시간위20d(14～34 d),평균주원비용15 000원(8 881～31 975원). 결론 절지환자잉이청장년남성위주,창상시기주요원인,고위절지、주원시간장、의료비용고시기주요특점.
Objective To study demographic features,clinical characteristics and in-hospital cost of patients due to different causes in one center in 2007-2011 and discuss their correlation.Methods A retrospective analysis was conducted on all patients who were treated with amputation from 2007 to the first half of 2011 in the Second Affiliated Hospital of Zhejiang University to carefully record their data,such as demographic characteristics,entity,medical history,clinical information,amputation location,amputation level,hospital day and medical cost.Results A total of 805 patients at age of (42.1 ± 18.1)years underwent amputation from 2007 to the first half of2011.Among them,the male patients accounted for 72.3％.The patients engaged in farm,industry and transportation accounted for 69.7％.Traumatic amputation occupied 66.1％,followed by 15.3％ of tumor amputation and diabetic amputation proportioned 4.5％,occupying 13.2％ of non-traumatic amputation.Ratios of lower limb amputations and amputations above levels of joints of palmar digitals and toes were 64.9％ and 61.7％.Mean hospital day was 20 days (range,14-34 days) and mean medical cost was 15 000 RMB (range,8 881-31 975 RMB).Conclusions Amputation largely occurs in the male adults and mainly results from trauma.High amputation,long hospital stay and high medical cost are the main characteristics.
