肾移植围手术期费用及其影响因素分析

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。

Analysis of Hospitalization Costs for Kidney Transplantation and Its Influencing Factors

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...