糖尿病对冠状动脉造影患者住院费用的影响

目的分析糖尿病对于冠状动脉造影患者住院费用的影响。方法2003年7月1日至2006年6月30日本院心内科住院患者，均进行冠状动脉造影。住院费用包括西药费、检查费、治疗费、床位费、材料费、总费用等。结果人选病例1966例，807例糖尿病患者与1159例非糖尿病患者相比，住院总费用高出42．7％，各项费用均明显高于非糖尿病患者（P均〈0．05）。住院总费用在冠状动脉无明显狭窄患者、冠状动脉明显狭窄但未再血管化处理的患者、冠状动脉明显狭窄并且进行冠脉介入处理的患者，糖尿病组均明显高于非糖尿病组患者（P均〈0．05）。住院总费用与性别、是否进行介入治疗、糖尿病和肾功不全以及年龄、高血压、心梗、脑卒中等病史为参数进行多元逐步回归分析，住院费用与前四项参数有独立相关性。结论合并糖尿病的患者，无论冠状动脉是否狭窄、冠脉是否进行介入处理，多项住院费用以及总费用明显高于非糖尿病患者。

Effects of diabetic complications on medical expenses of in-hospital patients who underwent coronary angiography

Objective To investigate the effects of diabetic complications on medical expenses of inhospital patients who underwent coronary angiography. Methods The patients, who were admitted to the cardiology ward of Peking Union Medical College Hospital at Dongdan during July 1, 2003- June 30, 2006 and had complete in-hospital medical expense records, were studied. All patients had coronary angiography and some of them had coronary artery intervention. Medical expenses included medication fee, examination fee, treatment fee, bed fee, material fee and others. The total of the above were called total expenses. Results 807 cases belonged to diabetes group, while 1159 cases to non-diabetes group. Compared with the non-diabetes group, patients in diabetic group were older, had higher female to male ratio, and more frequent medical historyies of hypertension, cerebral strokes and cardiac infarctions, and more multi-branch cardiac artery disorders and coronary artery intervention （all of P〈0. 05）. No matter if there was coronary artery stenosis and coronary artery interventional treatment was needed, the total inhospita medical expenses of diabetes group were 42.7% more than non-diabetes Group, with medication fee 43.1% more, examination fee 29.8% more, treatment fee 21.5% more, bed fee 22. 5% more, and material fee 47. 5% more, respectively （all P〈0. 05）. Conclusions The total in-hospital medical expenses and the expenses for some items of the coronary heart disease complicated with diabetes are much more than that without diabetes, no matter if there was coronary artery stenosis or coronary artery interventional treatment was needed.