CAJ | 학술논문

目的：了解糖尿病足病病患者住院费用及其主要影响因素。方法收集2007年1月至2012年3月住院的570例糖尿病足患者，分析其住院费用与临床特征的关系，采用多元回归方法分析住院费用的主要影响因素。结果糖尿病足患者平均住院费用19825.6(12476.6~32745.9)元，同时期住院的3401例糖尿病患者平均住院费用9757.1(6282.1~15723.7)元，差异有统计学意义。单因素分析中不同年龄、工作、足背动脉、血管 B 超、Wagner 分级、截肢截趾、转科、白细胞、血红蛋白、白蛋白、血肌酐、高密度脂蛋白胆固醇间住院费用差异有统计学意义。多因素分析中住院天数、血白蛋白、Wag-ner 分级、足背动脉、白细胞、年龄是影响住院费用的主要因素。结论住院时间长、低蛋白血症、Wag-ner 分级高、足背动脉搏动差、感染重、年龄大是导致糖尿病足患者住院费用增高的主要因素。
목적：료해당뇨병족병병환자주원비용급기주요영향인소。방법수집2007년1월지2012년3월주원적570례당뇨병족환자，분석기주원비용여림상특정적관계，채용다원회귀방법분석주원비용적주요영향인소。결과당뇨병족환자평균주원비용19825.6(12476.6~32745.9)원，동시기주원적3401례당뇨병환자평균주원비용9757.1(6282.1~15723.7)원，차이유통계학의의。단인소분석중불동년령、공작、족배동맥、혈관 B 초、Wagner 분급、절지절지、전과、백세포、혈홍단백、백단백、혈기항、고밀도지단백담고순간주원비용차이유통계학의의。다인소분석중주원천수、혈백단백、Wag-ner 분급、족배동맥、백세포、년령시영향주원비용적주요인소。결론주원시간장、저단백혈증、Wag-ner 분급고、족배동맥박동차、감염중、년령대시도치당뇨병족환자주원비용증고적주요인소。
Objective To explore the hospitalization costs of patients with diabetic foot ulcer and analyze key influencing factors.Methods A total of 570 diabetic foot inpatients were recruited from January 2008 to March 2012 for analysis of the relationship between their hospitalization costs and clinical symptoms.The multifactor regression analysis model was used to identify main influencing factors for their hospitalization costs.Results The medical costs of such inpatients amounted to 1 9 825.6 yuan (12 476.6~32 745.9)yuan,while average hospitalization costs of the 3 401 diabetic patients admitted over the same period were but 9 757.1 yuan (6 282.1 ~ 1 5 723.7 )yuan,a difference of statistic significance.The single-factor analysis found statistical differences from the differences of hospitalization among various age,occupation,dorsal artery of foot,B ultrasound of lower extremity arteries,wagner classification,amputation,transfer,leucocyte,hemoglobin,serum albumin,serum creatinine and high density lipoprotein.Multifactor analysis found that the significant factors influencing the medical costs of inpatients were days of stay,albumin,wagner classification,dorsal artery of foot,leucocyte and age. Conclusion Hypoalbuminemia,high stage of wagner classification,weak or absent pulsation of foot dorsal artery,severe infection and aging were significant factors contributing to higher medical costs of hospitalization for patients with diabetic foot ulcer.