孙华银，杨丽坤，王沛陵，李　雁，段小宛，任　锋，段钟平

酒精性肝硬化患者住院费用及影响因素分析*

孙华银，杨丽坤，王沛陵，李雁，段小宛，任锋，段钟平

目的调查酒精性肝硬化患者住院费用并分析其影响因素。方法收集我院2011～2013年度出院首诊断为酒精性肝硬化病例1907例，采用t检验、多元逐步回归分析等方法对住院费用及其影响因素进行分析。结果酒精性肝硬化患者住院人次呈逐年上升趋势，2011年、2012年2013年分别为476、577和855人次；男性1879例，女性28例，平均年龄（51.60±8.70）岁，其中77.77%集中在40～60岁之间；平均住院天数（19.78±15.58）天，平均住院费用为（27900.32±26580.54）元，其中西药费、化验费和材料费是住院费用的主要构成部分，分别占65.01%、12.43%和8.11%，三项合计占总费用85.55%；影响住院费用的主要因素包括住院天数、输注白蛋白、输血、出院年份和婚姻状况等。结论酒精性肝硬化患者住院费用较高，控制费用需患者、家属、医院和社会的共同努力。

酒精性肝硬化；住院费用；多元逐步回归分析；影响因素

【Abstract】ObjectiveTo investigate the hospitalization costs of patients with alcoholic liver cirrhosis and explore the factors influencing the hospitalization costs.MethodsA total of 1907 inpatients with alcoholic liver cirrhosis from 2011 to 2013 were included in this study.Multiple linear regression were applied to analyze the hospitalization costs and the relevant factors.ResultsThe number of hospitalized patients with alcoholic liver cirrhosis showed an increasing trend and hospitalized patients were 476，577 and 855 in 2011，2012 and 2013；there were 1879 males and 28 females，with a average age of（51.60±8.70）years old，and 77.77%were 40 to 60 years old；the average hospital stay were（19.78±15.58）days，and the average cost were（27900.32±26580.54）Yuan，among which the costs of western medicine，laboratory test and examining materials accounted for 65.01%，12.43% and 8.11%，respectively；The main factors affecting the hospitalization costs were time of hospitalization stay，albumin transfusion，blood transfusion，discharged year and marital status.ConclusionThe hospitalization cost of patients with alcoholic liver cirrhosis are relatively high，and efforts of patients，families，hospital and society are all needed to control the hospitalization cost.

【Key words】Alcoholic liver cirrhosis；Hospitalization costs；Stepwise multiple regression analysis；Impact factor

酒精性肝硬化（Alcoholic liver cirrhosis，ALC）是一种由于长期过量饮酒所导致的肝脏疾病[1]，病情复杂，病程漫长，失代偿期并发症多，如腹水、腹腔感染、上消化道出血、低蛋白血症等，预后较差[2，3]。近年来，随着我国经济发展和人民生活水平的提高以及膳食结构和生活方式的改变，ALC的发病率有逐年上升的趋势，给患者、家庭以及医保基金均带来了严重的经济负担。据报道，我国“北方”地区自2002年至2011年10年间ALC患者的构成比从3.3%上升至7.7%，上升了2.3倍，成为肝硬化患者继乙型肝炎和丙型肝炎后第三大致病病因[4]。……