老年高血压病患者住院期间中西药费用分析

Drug Expenses Analysis of Elderly Hypertensive Inpatients:Including Traditional Chinese Medicine and Western Medicine Expenses

目的了解老年高血压病患者住院期间中西药药品费用及其在不同性别、不同年龄组间的分布。方法从电子病历系统导出2014年1月1日-2015年10月30日期间住院的60岁以上的高血压病患者,并收集其药品费用和其他一般情况信息如年龄、性别等。依据资料类型选择参数或非参数检验方法比较药品费用在不同性别、不同年龄段间的分布。结果老年高血压病住院患者西药费和中药费的构成比分别是82%和18%。男性高血压病患者住院期间中药费和西药费均显著高于女性(P<0.001)。不同年龄组间西药费、中药费及总药费,差异均具有显著统计学意义(P<0.001),随着年龄的增长,高血压病患者住院期间中药费和西药费整体上都呈增长趋势。结论男性和高龄是高血压病住院患者药费(中药费和西药费)增多的重要因素。

Objective To investigate the drug expenses burden,including traditional Chinese medicine and western medicine expenses,on hypertensive inpatients and if gender and age affect the drug expenses.Methods Data were derived from the medical record system according with the following requirements：from January 1,2014 to October 30,2015,60 years old or older,diagnosed as hypertension.Drug expenses and some other information such as gender and age of each elderly hypertensive inpatient were collected simultaneously.Parameter test and Non-parameter test were utilized to analyze the drug expenses difference between male and female hypertensive inpatients,and in different age groups.Results Eighty-two percents of the drug expenses of elderly hypertensive inpatients came from Western medicine and the remaining drug expenses were from traditional Chinese medicine.Male hypertensive inpatients spent more money on traditional Chinese medicine and Western medicine than female hypertensive inpatients（P〈0.001）.Hypertensive inpatients in different age groups spent different amounts of money on drug expenses,including both traditional Chinese medicine and Western medicine expenses（P〈0.001）.In generally,getting older resulted in more drug（traditional Chinese medicine and Western medicine） expenses consumed by elderly hypertensive inpatients.Conclusion Being a male and getting older contribute to more drug expenses,including traditional Chinese medicine and Western medicine expenses spent by hypertensive inpatients.