不同急症入院患者血糖水平与卫生经济指标的相关研究

Study of the relationship between blood glucose levels and health economics indicators among emergency patients

目的了解急症入院患者血糖水平与住院日、医疗费用和救治效果的关系。方法在1 835例急症入院成年患者病情平稳后,根据早晨空腹和早餐后2 h快速血糖水平将患者分为3组,比较3组患者的住院日、医疗费用、治愈率。结果不同急症中血糖水平高的患者住院日均有不同程度的延长,医疗费用增加,治愈率下降,差异具有统计学意义(P<0.01或P<0.05)。结论血糖水平影响急症患者住院日、医疗费用和救治效果,建议密切关注急症入院患者尤其是内科急症患者的血糖水平及其管理。

Objective To investigate the relationship between blood glucose levels and length of hospital stay, medical costs and prognosis among emergency patients. Methods A total of 1 835 emergency patients were divided into 3 groups based on the level of morning Fasting Blood Glucose and Postprandial Two - hour Blood Glucose after their disease conditions were stable. The length of hospital stay, medical cose and cure rate were compared among the three groups. Results The length of hospital stay was longer, the medical cost was more, and the cure rate was lower among the emergency patients with high blood glucose levels than the other patients （ P 〈 0.01 or P 〈 0.05 ）. Conclusion Blood glucose levels of emergency patients affects their length of hospital stay, medical costs, and cure rate, so it is necessary＇ to pay more attention to blood glucose levels and blood glucose management among the emergercy patients, especially medical emergency patients.