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[目的]探讨脑梗塞患者住院费用的变化及其影响因素,提出相关政策建议。[方法]对2007～2010年陵县人民医院的5 782例住院脑梗塞病例的住院费用进行分析。[结果]5 782例脑梗塞患者住院费用实际值,例次平均由2007年的2 686.04元上升至2010年的3 942.56元,例日平均由2007年的244.83元上升至2010年的384.52元。多元逐步回归分析结果,影响脑梗塞患者住院费用的因素有住院天数、住院年份、年龄、出院情况和工作单位,标准偏回归系数分别为0.560、0.267、0.042、-0.030和0.022。[结论]脑梗塞患者的住院费用逐年增加。年龄大、农村工作、住院天数多、出院时预后差、住院年份晚的脑梗塞患者的住院费用较高。
[Objective] To investigate the change of hospitalization expenses and its influencing factors in patients with cerebral infarction and put forward relevant policy recommendations. [Methods] The hospitalization expenses of 5 782 hospitalized cerebral infarction cases in Lingxian People’s Hospital from 2007 to 2010 were analyzed. [Results] The actual cost of hospitalization for 5 782 cerebral infarction patients increased from 2 686.04 yuan in 2007 to 3942.56 yuan in 2010 on average, and the average daily number of cases increased from 244.83 yuan in 2007 to 384.52 yuan in 2010. The results of multiple stepwise regression analysis showed that the factors influencing the hospitalization expenses of patients with cerebral infarction were length of hospital stay, length of hospitalization, age, discharge and work unit, and the standard partial regression coefficients were 0.560, 0.267, 0.042, -0.030 and 0.022, respectively. [Conclusion] The cost of hospitalization of patients with cerebral infarction increases year by year. Large age, rural work, hospitalization days, poor prognosis at discharge, late hospitalization of cerebral infarction patients with higher hospitalization costs.