摘要
目的分析不同年份、不同科室糖尿患者的住院率，比较糖尿病患者与非糖尿患者在住院费用、时间和死亡率方面的差异。方法回顾性分析1995至2009年在北京协和医院各科住院的糖尿病和非糖尿病患者的临床资料，按时间以5年为1段分为3段，按年龄分为4段。结果共有500523例患者纳入分析。1995至2009年，糖尿病患者占总住院人数的比率由2．85％增加至7．65％；各科糖尿病患者占科室住院人数比率以心内科、眼科和血管外科增加最明显，到2009年分别为29．36％、24．51％、21．25％。各时间段及年龄段糖尿病组患者的住院时间均明显长于非糖尿病组患者（P〈0．001）；总住院费用除2000至2004年及2005至2009年0～18岁年龄段差异无统计学意义外（P〉0．05），其余各时间段及各年龄段均为糖尿病组患者明显高于非糖尿病组患者（P〈0．01或P〈0．001）；除1995至1999年65岁以上年龄段外（P〉0．05），各时间段及年龄段糖尿病组患者的日均住院费用均明显低于非糖尿病组患者（P〈0．05、P〈0．01或P〈0．001）。1995至2004年0—18岁糖尿病患者的死亡率为0，2005至2009年19—44岁年龄段糖尿病与非糖尿病患者死亡率差异无统计学意义（P〉0．05），其余各时间段及年龄段糖尿病组患者的死亡率均明显高于非糖尿病组患者（P〈0．01或P〈0．001）。结论糖尿病患者的住院时间较长，住院率、住院费用及死亡率较高，应制订全院范围内糖尿病管理模式，提高治疗水平。
Objective To analyze the hospitalization rates of diabetic patients in different departments in different years and compare the differences in hospitalization costs, length of stay, and mortality between diabetic and non-diabetic patients. Methods The clinical data of hospitalized patients from 1995 to 2009 in different departments of Peking Union Medical College Hospital were retrospectively analyzed. Patients were divided into three groups by calendar period （ every five years） and into four groups by ages. Results A total of 500 523 patients were enrolled in this study. From 1995 to 2009, the hospitalization rates of diabetic patients increased from 2.85 % to 7.65 % , especially among patients who were treated in the departments of cardiology, ophthalmology, and vascular surgery. In 2009, the hospitalization rates of diabetic patients in the three departments were 29. 36%, 24. 51% , and 21.25% , respectively. The length of hospital stay was significantly longer among diabetic patients than among non-diabetic patients （P 〈 0. 001 ）. The total hospital costs were also significantly higher among diabetic patients than among non-diabetic patients in all the period and age groups （ P 〈 0. 01 or P 〈 0. 001 ） except in 2000-2004 group and 2005 - 2009 group in 0 - 18 years group （ P 〉 0. 05 ）. The hospital cost per day in diabetic patients was significantly lower than that in non-diabetic patients in all the period and age groups （ P 〈 0. 05, P 〈 0.01 or P 〈 0. 001 ） except in 1995-1999 group in over 65 years group （ P 〉 O. 05 ）. The mortality rate of diabetic patients in the 1995-2004 in 0-18 years group was zero, and the mortality rates were not significantly different between diabetic patients and non-diabetic patients in 2005 - 2009 group in 0-18 years group （P 〉 0.05 ）, and were significantly higher in diabetic patients than in non-diabetic patients in all other period and age groups （P 〈 0. 01 or P 〈 0. 001 ）. Conclusions Diabetic inpatients tend to have a lo
出处
《中华临床营养杂志》
CAS
2010年第2期72-76,共5页
Chinese Journal of Clinical Nutrition
关键词
糖尿病
住院率
住院费
住院时间
死亡率
Diabetes mellitus
Hospitalization rate
Hospital costs
Length of stay
Mortality rate
