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肾移植围手术期费用及其影响因素分析
引用本文:赵闻雨,曾力,朱有华,等.肾移植围手术期费用及其影响因素分析[J].中国卫生经济,2011,30(4):70-72.
作者姓名:赵闻雨  曾力  朱有华  
作者单位:第二军医大学长征医院解放军器官移植研究所,上海,200003
基金项目:卫生部国际交流与合作中心移植科研项目
摘    要:目的:研究肾移植围手术期费用及其影响因素。方法:选择2008年1月至2009年12月在上海长征医院行尸体供肾移植的184例患者,采用回顾性研究分析其围手术期费用及构成情况,并对影响费用的因素进行多因素逐步回归分析。结果:围手术期总费用中位数为75 682元,其中药品费占68.8%,手术费13.9%,检查检验费10.9%,床位费3.7%,护理费0.6%,治疗费2.1%。影响肾移植围手术期费用的主要因素依次为:肺部感染、免疫诱导治疗方案、急性排斥反应、移植肾功能延迟恢复、免疫维持治疗方案和费用支付方式。结论:通过预防围手术期并发症,合理选择免疫治疗方案,合理使用国产药物,可减少肾移植围手术期费用,降低受者及社会的负担。

关 键 词:肾移植  住院费用  影响因素

Analysis of Hospitalization Costs for Kidney Transplantation and Its Influencing Factors
ZHAO Wen-yu,ZENG Li,ZHU You-hua,et al Organ Transplantation Institute of PLA,Changzheng Hospital,Second Military Medical University,Shanghai,China.Analysis of Hospitalization Costs for Kidney Transplantation and Its Influencing Factors[J].Chinese Health Economics,2011,30(4):70-72.
Authors:ZHAO Wen-yu  ZENG Li  ZHU You-hua  Organ Transplantation Institute of PLA  Changzheng Hospital  Second Military Medical University  Shanghai    China
Institution:ZHAO Wen-yu,ZENG Li,ZHU You-hua,et al Organ Transplantation Institute of PLA,Changzheng Hospital,Second Military Medical University,Shanghai,200003,China
Abstract:Objective: To investigate the hospitalization costs for kidney transplantation and its influencing factors.Method: A retrospective analysis was conducted on 184 patients who received deceased donor kidney transplantation in Shanghai Changzheng hospital from January,2008 and December,2009.The method of multivariate stepwise regression analysis was used to study the factors influencing hospitalization costs.Result: The median cost of hospitalization was 75 682 yuan,of which 68.8% was for traditional Chinese m...
Keywords:kidney transplantation  hospitalization cost  influencing factor  
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