2005-2006年深圳市哨点医院病毒性肝炎住院病例流行病学特征及费用分析

目的对深圳市参加病毒性肝炎住院病例病案监测的11家哨点医院的资料进行分析,掌握深圳市住院肝炎病人的流行病学特征和住院费用情况。方法选取5家市级综合医院和6家区级医院为监测哨点,对2005年和2006年出院肝炎病例病案进行汇总,以全省统一Excel数据库为基础,SPSS13.0进行分析。结果2年共监测肝炎住院病例15068人次,男性住院病例数(占75.8%)远多于女性,且住院天数较长。19～40岁青壮年构成住院病例的主要部分,18岁及以下年龄组仅占2.9%。乙型病毒性肝炎特别是慢性乙型肝炎是主要型别,B18疾病分类在市级医院住院比例高于区级医院。丙型病毒性肝炎逐年上升。入院时间的季节分布表现为春季高峰。住院费用与病例性别、年龄、病毒型别、医院级别、手术等因素相关。结论病毒性肝炎仍然是深圳市主要传染病,乙肝是深圳市肝炎住院的主要危险因素,预测丙型肝炎慢性化病例将陆续增多。继续加强疫苗接种并有针对性地开展综合监测和预防控制是未来降低肝炎住院医疗费用、遏制病毒性肝炎疾病负担的重要手段。

Analysis on epidemiological characteristics and in-patient expenditure of viral hepatitis in sentinel hospitals of Shenzhen city from 2005 to 2006

Objective To analyze data of viral hepatitis in-patient records from 11 sentinel hospitals and to explore epidemiological characteristics and direct medical costs of the cases.Methods 5 city-level general hospitals and 6 district-level hospitals were selected as sentinel sites.Uniform inpatient medical records of viral hepatitis in year 2005 and 2006 were collected based on excel database and SPSS 13.0 was used for statistic analysis.Results In total,15068 cases were documented.Male and hepatitis B type constituted the major part of the case pool.Adults aged above 18 exceeded those below 18.HCV infection and spring peaks were observed.Factors like sex,age,inpatient days and hospital level were main reasons explaining medical costs.Conclusion Being male and infected with HBV were main risk factors for inpatient treatments.HCV cases were anticipated to increase in the pool.Vaccination and comprehensive surveillance will be the most effective methods to decrease medical costs hence reduce disease burden caused by hepatitis.