摘要目的 分析急性中毒患者的住院费用及相关影响因素.方法 回顾性研究温州医科大学附属第二医院2009年1月至2015年3月收治入院的373例急性中毒患者一般情况及住院费用,填写调查表,数据录入Excel表格,采用SPSS18.0数据包进行统计分析.结果 373例病例中自杀率高达44.8％,其次是误接触(31.1％);农药中毒最多占42.6％;其次是药物中毒,占32.7％.治疗后好转病例占64.1％,死亡病例占1.3％.住院费用最高达62 710.26元,最低为64.64元,住院费用中位数4328元.年龄越大、住院时间越长、住院费用越高;进行导泻、机械通气、血液净化、入住重症监护室患者的费用相对较高.结论 急性中毒患者住院费用高,应重点防治因农药及药物所致的中毒,以减轻急性中毒所带来的沉重经济负担.

abstractsObjective To investigate the hospital costs and related influencing factors in patients with acute poisoning.Methods A retrospective analysis was performed for the general status and hospital costs of 373 patients with acute poisoning who were admitted to The Second Affiliated Hospital of Wenzhou Medical College from January 2009 to March 2015.The questionnaires were completed,the data were entered into Excel forms,and SPSS 18.0 was used to perform statistical analysis.Results Among the 373 patients,44.8％ committed suicide and 31.1％ were poisoned by accidental contact;42.6％ were poisoned by pesticides,and 32.7％ were poisoned by drugs.After treatment,64.1％ achieved improvements,whereas 1.3％ died.The highest hospital cost reached 62 710.26 RMB,and the lowest was 64.64 RMB (median 4 328 RMB).The patients with an older age and a longer length of hospital stay tended to have higher hospital costs;the patients who underwent catharsis,mechanical ventilation,and blood purification and were admitted to the intensive care unit had relatively high hospital costs.Conclusion The patients with acute poisoning have high hospital costs.Poisoning caused by pesticides and drugs should be prevented and treated with priority,so as to reduce the heavy economic burden caused by acute poisoning.