581例过敏性紫癜患儿住院费用分析

Analysis of Hospitalization Expenses of 581 Henoch-Schonlein Purpura Children Patient

目的分析过敏性紫癜患儿的一般情况(性别、年龄)、患儿临床表现与住院费用之间的关系,为该病的临床诊疗提供参考,为该病的费用管理提供依据。方法收集2007年至2012年过敏性紫癜患儿数据,分析过敏性紫癜患儿的人口统计学特征、临床表现、住院费用,采用T检验、方差分析、线性回归模型、卡方检验、非参数检验方法进行分析。结果 3岁-6岁患儿占比最大,腹型患儿的平均住院费用是3341.64元,肾型患儿的平均住院费用是4521.16元,肾脏症状及消化道症状是过敏性紫癜患儿平均住院费用的显著性影响因素,肾脏症状对住院费用的影响最大。结论不同临床表现患儿的平均住院费用存在显著性差异,应该根据患儿的临床表现科学合理地确定医疗费用。

Objective To analyze part of demographic characteristics（sex and age）, clinic feature and discharge fee of HSP children, in order to provide reference for clinic treatment, provide advice for cost management. Methods Collect HSP children＇s data from 2007 to 2012, analyze demographic characteristics, clinic feature and discharge fee, use T test, χ2 test, linear regression model and nonparametric test method to analyze. Results Children whose age between 3 and 6 have the biggest proportion, the average discharge fee of children who got gastrointestinal damage is 3341.64 Yuan, the average discharge fee of children who got kidney damage is 4521.16 Yuan. The symptoms of kidney and digestive tract symptoms were significant factors affecting the hospitalization expenses.Conclusions According to clinical manifestations, the average hospitalization expenses of sick children were significantly different, medical expenses should be scientifically and appropriately determined according to the clinical manifestations of the children.