摘要
目的通过统计2003至2007年因骨质疏松椎体压缩性骨折住院患者的基本情况与住院费用结构,充实我国与骨质疏松症有关骨折治疗费用的资料。方法收集广州中医药大学附属广东省中医院的骨科患者资料,对2003至2007年5年中50岁以上的椎体压缩性骨折患者的一般情况、住院时间及住院费用进行统计分析。结果过去5年中,椎体压缩性骨折的患者住院人数呈逐年递增趋势,每年的女性患者人数均显著高于男性,男女患者总人数比为1∶3.17,平均住院天数为（18.44±10.16）d。70～79岁年龄段的住院人数最多,占总人数的44.48%。5年间共有1379个椎体发生压缩性骨折,平均每人有1.45个椎体发生压缩性骨折。压缩性骨折好发节段为：T12（21%）、L1（26%）。人均总费用为（11464.47±10755.68）元,平均年递增26.46%。住院费用的构成：治疗费（含手术材料及内置物费）占42%,药费占31%（中药费占10%,西药费占21%）,床位费占9%,检查费占5%,化验费占5%,手术费占2%。结论老龄化使骨质疏松椎体压缩性骨折逐年增多,所需医疗费用也逐年递增。有效控制内置物、手术器械费以及药费是减少椎体压缩性骨折占用医疗资源,减轻患者经济负担的有效的途径。
Objective To amass the data on the expenditures for medical care of osteoporotic vertebral compression fractures in China, we investigated the therapeutic cost for osteoporotic vertebral compression fractures in Guangdong Traditional Chinese Medicine Hospital from 2003 to 2007. Methods The inclusion criteria were osteoporotic patients, aged over 50 years, with the fracture of vertebral bodies. Clinical parameters such as general run of things, hospital length of stay, inpatient costs, and the constitutions of the inpatient costs were analyzed with multiple statistics methods. Results Over the 5-year study period the number of hospitalizations for osteoporotie vertebral compression fractures increased with a cure model. Male and female ratio was about 1 ： 3.17. Average hospital length of stay was about 18.44 ＋ / - 10.16days. The number of hospitalizations went to the top at the age of a70 to 90 years old （44.48 % ）. Over the 5-year, the bodies of vertebral compression fractures were 1379. Average bodies of vertebral compression fractures were 1.45. The fracture is most commonly found on the T12 （21% ）, L1 （26%）. Average total cost is about 11464.47 ＋/- 10755.68 （RMB） with an increase of 26.46%. The constitution of the inpatient costs include 42% treatment costs（ include implants, materials used in the theatre and routinely care of the wound）, 31% pharmacy intervention（10% Traditional Chinese Medicine and 21% West medicine）,9% ward expenditure,5% examination, 5% chemistry test and 2% operation. Conclusion The total medical care cost for osteoporotie vertebral compression fractures is increasing year by year. Cost control should be paid more attention to the implants and drugs.
出处
《中国骨质疏松杂志》
CAS
CSCD
2009年第5期342-346,共5页
Chinese Journal of Osteoporosis
关键词
椎体压缩性骨折
住院费用
骨质疏松
中医药
Osteoporotic vertebral compression fractures
Hospital costs
Oestoporosis
Traditional Chinese medicine
