老年髋部骨折的住院治疗费用分析

Analysis on the expenses of medical care of hip fracture in elderly people

目的统计比较我院近6年来髋部骨质疏松性骨折的治疗费用的变化。方法收集上海交通大学附属第九人民医院骨科患者资料，对2001—2006年6年中50岁以上髋部患者的年龄、性别、骨折类型、住院天数、治疗费用进行统计分析。结果髋部骨折患者中女性明显多于男性，多见于70—89岁；老年股骨颈骨折的类型多为Garden型（Garden分型）和头下型（按骨折线分型），股骨粗隆间骨折类型多见于Evans—JensenⅢ型；2001—2006年6年中，股骨颈骨折患者357例，平均每年60例，平均住院天数为18d，平均每人所需治疗费用29793元，人均费用每年递增8％；股骨粗隆间骨折328例，平均每年55例，平均住院天数为17d，平均每人所需治疗费用21666元，人均费用每年递增11．2％。结论老年髋部骨折中女性明显多于男性，髋部骨折治疗费用昂贵，并且呈逐年上升的趋势。

Objective To investigate and analyze the changes on treatment expenditures on osteoporotic hip fractures in our hospital in the past 6 years. Methods Analysis was carried out by gender,age,fracture type,cost and hospitalization length of inpatients aged over 50 years in Shanghai Ninth People＇s Hospital from 2001 to 2006. The inclusion criteria were osteoporotic patients with fractures of the neck and inter-trochanteric regions of femur. Results Number of female patients aged over 50 years with hip fracture was significantly higher than that of male ; the hip fractures types with highest morbidity are GardenⅣ in femoral neck fracture and Evans-Jensenm in intertrochanter fracture. Fracture of femoral neck occurred in 60 patients annually, with individual cost of RMB 29793 yuan with an annual increase of 8.0%, number of fractures in intertrochanteric region is 55 annually, with individual cost of RMB 21666 yuan with an annual increase of 11.2%. Conclusions About 3 million RMB is spent on osteoporotic fractures in Shanghai Ninth People Hospital every year, and the cost is rising by each passing year.