《中国病案》2023年第24卷第4期·47··信息利用·脑梗死合并骨质疏松症患者共患疾病及费用的分析陈喜①张敬②*摘要目的观察脑梗死合并骨质疏松症(OP)患者共患疾病及住院费用情况，提高临床医师在脑梗死治疗时对OP干预的重视程度。方法收集海南某三甲综合医院康复医学科2016年1月1日至2020年12月31日住院诊断为脑梗死的患者82例，A组(脑梗死合并OP)37例，B组(脑梗死无OP)45例，分析两组患者共患疾病情况及住院费用。结果A、B组平均伴随疾病种数为(9.4±5.4)种、(11.6±5.1)种。共病率排名前4的病种A组为高血压(70.3%)、糖尿病(32.4%)、偏瘫及骨折(27.0%)，B组为高血压(82.2%)、偏瘫(75.6%)、认知障碍(51.1%)、脑出血(35.6%)。A组在骨折、腰椎间盘突出共病率高于B组，而偏瘫、认知障碍、吞咽困难、脑出血共病率低于B组,差异有统计学意义(P＜0.05)。两组患者在康复费、护理费上存在着统计差异(P＜0.05)。A组药费占总费用比例高，为42.73%，而康复费用低于B组，为21.45%。结论脑梗死共患疾病多，当合并OP时，同时合并骨折、腰椎间盘突出症者增多，药费增高、康复费用低。临床诊治中应重视脑梗死与OP共患。关键词脑梗死；骨质疏松症；共患疾病；费用AnalysisofComorbiditiesandCostsinPatientswithCerebralInfarctioncombinedwithOsteoporosisChenXi,ZhangJingAbstractObjectivesToobservethecomorbiditiesandhospitalizationcostsofpatientswithcerebralinfarctionandosteoporosis(OP)，soastoimprovetheattentionofclinicianstoOPinterventioninthetreatmentofcerebralinfarction.MethodsAtotalof82patientswhowerehospitalizedanddiagnosedwithcerebralinfarctioninthedepartmentofrehabilitationmedicineofatertiarygeneralhospitalinHainanfromJanuary1st,2016toDecember31st,2020werecollected,including37patientsingroupA(cerebralinfarctioncomplicatedwithOP)and45patientsingroupB(cerebralinfarctionwithoutOP)，thecomorbiddiseasesandhospitalizationexpensesofpatientsingroupAandgroupBwereanalyzed.ResultsTheaveragenumberofconcomitantdiseasesingroupsAandBwas(9.4±5.4),(11.6±5.1).Thetop4diseaseswithcomorbidityrateingroupAwerehypertension(70.3%),diabetes(32.4%),hemiplegiaandfracture(27.0%),andgroupBwerehighBloodpressure(82.2%),hemiplegia(75.6%),cognitiveimpairment(51.1%),cerebralhemorrhage(35.6%).Thecomorb...
