摘要
目的 分析近五年来四川省人民医院呼吸系统疾病老年住院患者的疾病谱和费用情况。方法 通过医院信息系统提取2010年至2014年因呼吸系统疾病住院的65岁以上患者的临床资料和费用情况,进行疾病分类、构成比及费用分析,采用SPSS 18.0进行统计分析。结果 该院2010年至2014年因呼吸系统疾病住院的65岁以上患者共17 600例,患者总数呈上升趋势,其中男性占64.0%,女性占36.0%。患者平均年龄为76.9岁,主要集中在65-89岁年龄段,占总数的94.4%。患者主要分布在老年科、呼吸科和急诊科的住院患者,占总数的78.2%。老年住院患者呼吸系统疾病排名前三位的分别为肺炎、慢性阻塞性肺疾病和肺部肿瘤,三者共占总体的86.5%,男性患者多于女性。肺部肿瘤、支气管扩张症和肺结核所占比例呈上升趋势,哮喘、慢性阻塞性肺疾病、气胸所占比例呈下降趋势。平均住院天数由2010年的17.6 d降至2014年的16.0 d,人均住院费用由2010年的20 162.6元增至2014年的30 015.1元。药品比由2010年的57.2%降至2014年的48.8%。结论 肺炎、慢性阻塞性肺疾病及肺部肿瘤为四川省人民医院老年住院患者的主要呼吸系统疾病,以男性患者为主。肺癌和肺结核发病率升高,肺癌患病有年轻化趋势,支气管哮喘和慢性阻塞性肺疾病发病率呈下降趋势。平均住院日、药品比呈下降趋势,人均住院费用呈上升趋势。
Objective To investigate the disease spectrum and cost constitution of patients aged over 65 years with respiratory diseases in Sichuan Provincial People＇ s Hospital from 2010 to 2014. Methods The inpatients＇ clinical data and costs were collected from hospital information system. The diseases were classified and the cost constitution were analyzed. The data were analyzed using SPSS 18.0 software. Results The total number of the inpatients aged over 65 years was 17600 from 2010 to 201g, with more males （64. 0% ） than females （36.0%）. The patients aged 76. 9 years on average and were mainly in the 65 - 89 age group which accounted for 94.4%. The patients were mainly distributed in geriatric department, respiratory department and emergency department, accounting for 78.2% of the total. The top three respiratory diseases were pneumonia, chronic obstructive pulmonary disease （COPD） and pulmonary tumor accounting for 86. 5% of the total with more males than females. There was an upward trend in the proportion of pulmonary tumor, bronehiectasis and pulmonary tuberculosis, and a downward trend in the proportion of asthma, COPD and pneumothorax. The average length of hospital stay decreased from 17.6 days to 16. 0 days since 2010,and the average cost per capita increased from ￥20162. 6 yuan to ￥30015.1 yuan since 2010. The proportion of drug cost to inpatients hospitalization cost decreased from 57. 2% to 48.8% since 2010. Conclusions Pneumonia, COPD and pulmonary tumor are main respiratory diseases of inpatients over 65 years in Sichuan Provincial People＇ s Hospital from 2010 to 2014. The male inpatients aremore than female inpatients. The incidence of pulmonary tumor and pulmonary tuberculosis rises, and of asthma and COPD goes down. The incidence of lung tumor is increasing in younger age groups. The average length of hospital stay and the proportion of drug cost have declined in recent five years, while the average cost per capita has increased.
出处
《中国呼吸与危重监护杂志》
CAS
北大核心
2016年第5期495-499,共5页
Chinese Journal of Respiratory and Critical Care Medicine
