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目的:分析先心病手术患儿的直接医疗与直接非医疗经济负担,为降低经济负担提供依据。方法:2009年对198例先心病患儿进行调查。用中位数进行统计描述,Kruskal-Wallis H检验进行假设检验。结果:室间隔缺损、法鲁氏四联症、房间隔缺损、复杂型先心病、其他型先心病直接医疗经济负担中位数分别为31 779元、41 562元、28 911元、71 651元、41 644元,差异有统计学意义(P<0.000 1);直接医疗与直接非医疗经济负担相对比超过96.5%。直接非医疗经济负担中位数分别为850元、1 190元、905元、1 100元、950元,差异无统计学意义(P>0.05)。结论:先心病直接医疗经济负担是患儿的主要直接经济负担。故进一步控制直接经济负担关键在于控制直接医疗经济负担,或建立强有力的社会保障体系。
OBJECTIVE: To analyze the direct medical treatment and direct non-medical economic burden of children with congenital heart disease and provide the basis for reducing the economic burden. Methods: In 2009, 198 cases of children with congenital heart disease were investigated. The median is used for statistical description and the Kruskal-Wallis H test is used to test the hypothesis. Results: The median direct medical financial burden of ventricular septal defect, Faruq tetralogy of Fallot, atrial septal defect, complex congenital heart disease and other type of congenital heart disease were 31,779 yuan, 41,562 yuan, 28911 yuan and 71,651 yuan respectively , 41 644 yuan, the difference was statistically significant (P <0.000 1); direct medical and direct non-medical financial burden of more than 96.5%. The median direct non-medical financial burden was 850 yuan, 1 190 yuan, 905 yuan, 1 100 yuan, 950 yuan, the difference was not statistically significant (P> 0.05). Conclusion: Direct medical and financial burden of congenital heart disease is the major direct financial burden on children. Therefore, the key to further controlling the direct economic burden lies in controlling the direct medical and economic burden or establishing a strong social security system.