消化性溃疡伴出血住院患者的诊治费用：在苏州一家医院的研究中文摘要消化性溃疡伴出血住院患者的诊治费用：在苏州一家
医院的研究
中文摘要
目的：
研究消化性溃疡伴出血住院患者的诊治现状及治疗费用，分析住院费用的主要影响因素。
方法：爱婴医院
2009年8月至2013年12月期间，收录因消化性溃疡出血住院的患者进行研究。记录并分析患者人口学特征、既往病史、临床表现、住院期间的诊治、住院费用、合并症等，同时对患者住院费用的构成及影响因素进行统计分析。
纽崔莱倍立健片
结果：
患者平均住院费用为¥6338.8，其中西药费占55.6%，实验室检查费用占14.4%，诊疗护理费用及床位费调怎么组词
用占9.3%，器械检查费用占7.4%，其他费用如内镜下止血、输血费用等约占13.3%。而西药费用中，质子泵抑制剂占41.5%。患者入院时Rockall 评分为2.47±1.31。平均住院天数为7.5天。所有的患者在72小时内进行了胃镜检查。其中，十二指肠球部溃疡伴出血占63.1%，胃溃疡伴出血占29.4%，复合溃疡伴出血占6.0%，吻合口溃疡伴出血占1.3%，食管溃疡伴出血0.1%。住院总费用与住院天数、患者年龄、入院时患者血红蛋白水平、胃镜下溃疡Forrest分级、有服用非甾体类抗炎药（NSAIDs）药物史明显相关。
结论：
影响患者住院费用的主要因素为住院天数、患者年龄、入院时患者血红蛋白水平、
中文摘要消化性溃疡伴出血住院患者的诊治费用：在苏州一家医院的研究
胃镜下溃疡Forrest分级、有服用NSAIDs药物史，而呕血、黑便及幽门螺旋杆菌（Hp）感染并不独立影响患者的住院费用，同样的，溃疡类型、溃疡直径、糖尿病等与患者的住院费用无明显相关。文中，质子泵抑制剂占了西药总费用的较大部分，合理的治疗方案有助于降低患者住院费用，同时可优化患者的费用构成。上述影响患者住院费用的因素只能解释患者住院费用的53.3%，说明还有其他影响患者住院总费用的因素，还需要医学工作者进一步探讨。
关键词：消化性溃疡伴出血；住院费用；构成比；住院天数
作者：马艳芹
指导教师：王少峰
Care and charges for Peptic ulcer with hemorrhage inpatients: a hospital bad study in Suzhou
Abstract
Objective:
贝斯音阶图Peptic ulcer with hemorrhage is still a life-threatening dia. The objective of the prent study is to evaluate the current status of charges about peptic ulcer with hemorrhage, and to identify the main determinants of such charges in a university affiliated hospital.
Methods:
In this retrospective study, the patients suffering from peptic ulcer with bleeding during August 2009 to December 2013 in the cond affiliated hospital of Soochow university were considered. The associations of different factors with patient charges were analyd using a univariate analysis, such as demographic characteristics, medical history, clinical manifestation, diagnosis and treatment during hospitalization and hospital length of stay.
Results:
The mean hospital charge per patient was ¥6338.8, of which 55.6% was attributed to the charges for medicine, 14.4% for laboratory tests, 7.4% for imaging studies including X-ray, ECG and gastroscopy, 9.3% for the clinic care expens, and others accounted for 13.3%. The mean initial full Rockall scores on admission were 2.47±1.31points, ranging from 1 to 5 points. The mean hospital length of stay (LOS) was 7.5 days. All patients underwent gastroscopy examination within 72 hours. Among the 799 patients, 63.2% were duodenal ulcer with hemorrhage. Gastric ulcer with hemorrhage account for 29.4%, while combined DU and GU with hemorrhage for 6.0% and anastomotic ulcer for 1.3%. Benign
esophageal ulcer with hemorrhage accounted for 0.1%.
单片机实训报告Conclusion:
Total hospital charges were correlated strongly with LOS, age, hemoglobin on admission, and Forrest classification under gastroscopy, history of taking NSAIDs. Clinical manifestation (such as melena or hemotemesis), Hp infection as well as the type of ulcer, the history of peptic ulcer and the diameter of the ulcer did not influence total charges independently. The study found that proton pum
p inhibitors (PPIs) accounted for 23.1 % of total costs. A treatment protocol in peptic ulcer with bleeding may optimize cost, especially with regard to the rational u of PPIs. The factors can only explain 53.3% of inpatients hospital charges. There are other factors that affect the total charge of hospitalization, which needs further study.稀罕反义词
key words: Peptic ulcer with hemorrhage; hospital charge; composition; hospital length of stay
Written by: Ma Yan Qin
Supervid by: Wang Shao Feng
目录
前言 (1)
资料与方法 (2)
电视剧人间正道是沧桑
蒂格结果 (4)
讨论 (14)
结论 (17)
参考文献 (18)
附表 (20)
综述 (21)
中英文对照缩略词表 (36)
致谢 (37)
