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目的:了解我院普通糖尿病与糖尿病酮症患儿的治疗及费用情况,为优化患儿生活质量、减轻其家庭经济负担提供依据。方法:对184例糖尿病患儿住院治疗情况进行调查分析。结果:184例糖尿病患儿平均每次住院费用13 247.61元。112例有酮症的患儿平均住院费用15 418.71元;人均总药费4 739.395元,人均抗生素费用2 298.3元,占人均总药费的48.5%,平均住院天数21.0 d。72例普通糖尿病患儿平均住院费用9 989.352元;人均总药费2 434.626元,人均抗生素费用681.4元,占人均总药费的28.0%,平均住院天数16.8 d。全部患儿预后良好,但治疗中存在抗菌药物滥用问题。结论:糖尿病酮症患儿的住院天数、治疗费用、感染率均明显高于普通糖尿病患儿。糖尿病患儿易并发感染,治疗中应该合理使用抗生素。
OBJECTIVE: To understand the treatment and cost of children with diabetes and diabetic ketosis in our hospital, and to provide basis for optimizing the quality of life of children and alleviating the financial burden of their families. Methods: To investigate the hospitalization of 184 cases of diabetic patients. Results: The average cost of hospitalization for 184 children with diabetes was 13 247.61 yuan per hospital. The average cost of hospitalization for children with ketosis was 15 418.71 yuan, the total per capita drug cost was 4 739.395 yuan, the average per capita antibiotic cost was 2 298.3 yuan, accounting for 48.5% of the total per capita drug cost and the average length of stay was 21.0 days. The average cost of hospitalization for 72 children with diabetes was 9 989.352 yuan, the total per capita drug cost was 2 434.626 yuan, the per capita antibiotic cost was 681.4 yuan, accounting for 28.0% of the total per capita drug cost and the average length of stay was 16.8 days. All children with good prognosis, but the treatment of antimicrobial abuse problems. Conclusion: The hospitalization days, treatment costs and infection rates of children with diabetic ketosis are significantly higher than those of normal children with diabetes. Children with diabetes complicated by infection, the treatment should be rational use of antibiotics.