【摘要】：目的分析血液系統(tǒng)3種常見血液病患者發(fā)生醫(yī)院肺部感染所延長的住院天數(shù)和增加的住院費(fèi)用,為制定血液病患者感染控制策略提供參考依據(jù)。方法回顧性分析2013年1月-2014年12月醫(yī)院血液科935例血液病住院患者臨床資料,共住院2 850例次,血液病包括淋巴瘤、骨髓瘤和急性白血病3種;將發(fā)生醫(yī)院肺部感染的226例患者設(shè)為病例組,按照條件進(jìn)行1∶2匹配,選擇對(duì)照組患者452例,比較兩組患者的住院費(fèi)用和住院天數(shù),采用SPSS22.0軟件進(jìn)行統(tǒng)計(jì)分析。結(jié)果 2 850例次患者肺部感染226例次,例次感染率為7.93%;淋巴瘤、骨髓瘤和急性白血病3種血液病患者醫(yī)院肺部感染率分別為3.40%、10.67%和20.67%;病例組較對(duì)照組延長住院16d,增加住院費(fèi)用66 202.47元,其中西藥費(fèi)增加42 990.64元;淋巴瘤、骨髓瘤和急性白血病病例組較對(duì)照組延長住院分別為20、14d和10d;增加費(fèi)用分別為54 733.16、35 682.95元和69 668.53元;日均增加費(fèi)用分別為2 736.66、2 548.78元和6 966.85元。結(jié)論 3種血液病患肺部感染率較高,肺炎明顯延長患者住院天數(shù),加重患者經(jīng)濟(jì)負(fù)擔(dān);急性白血病肺部感染率最高,直接經(jīng)濟(jì)損失最大,是醫(yī)院感染預(yù)防控制的重點(diǎn)。
[Abstract]:Objective to analyze the length of hospital stay and the increase of hospital expenses in patients with three kinds of hematologic diseases, and to provide reference for making infection control strategy for patients with hematologic diseases. Methods the clinical data of 935 patients with hematologic diseases in hospital from January 2013 to December 2014 were retrospectively analyzed, including 2,850 cases of hematologic diseases, including lymphoma, myeloma and acute leukemia. 226 patients with nosocomial pulmonary infection were selected as the case group and matched at 1:2 according to the conditions. 452 patients in the control group were selected. The hospitalization expenses and hospitalization days of the two groups were compared, and the statistical analysis was carried out by SPSS22.0 software. Results there were 226 cases of pulmonary infection in 2 850 cases, the infection rate was 7.93 times. The nosocomial pulmonary infection rate of the patients with myeloma and acute leukemia were 3.400.67% and 20.67.The hospital stay in the case group was longer than that in the control group for 16 days, and the hospitalization cost was 66 202.47 yuan, including 42 990.64 yuan for western medicine. Compared with the control group, the patients with myeloma and acute leukemia were hospitalized for 20 days for 14 days and 10 days, respectively, the increased costs were 54 733.1635 682.95 yuan and 69 668.53 yuan respectively, and the average daily increased costs were 2 736.66 6 548.78 yuan and 6 966.85 yuan respectively. Conclusion the pulmonary infection rate of the three kinds of blood patients is high, the pneumonia obviously prolongs the hospitalization days of the patients, exacerbates the economic burden of the patients, and the pulmonary infection rate of acute leukemia is the highest and the direct economic loss is the biggest, which is the key point of the prevention and control of nosocomial infection.
【作者單位】： 解放軍總醫(yī)院海南分院血液科;解放軍總醫(yī)院感染管理與疾病控制科;解放軍總醫(yī)院護(hù)理部;
【基金】：國家科技重大專項(xiàng)基金子課題(2013ZX10004805-003,2013ZX10004217-002) 解放軍總醫(yī)院科技創(chuàng)新苗圃基金資助項(xiàng)目(12KMM09)
【分類號(hào)】：R733;R563.1

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