关键词: 晚期血吸虫病； 巨脾； 医疗费用； 湖南省

Abstract: Objective Objective To understand the direct medical expense for surgical patients with splenomegalic advanced schisto? somiasis and its influencing factors，so as to provide evidences for relevant departments to improve the rescue strategy of ad? vanced schistosomiasis. Methods Methods The data about the expenses of patients with splenomegalic advanced schistosomiasis hospi? talized in Xiangyue Hospital affiliated to Hunan Institute of Schistosomiasis Control from January 2010 to August 2014 were col? lected，the hospitalization expense and hospital stays of the patients were analyzed，and the factors influencing the hospital ex? penses were analyzed by the univariate and multi?factor analyses. Results Results From January 2010 to August 2014，totally 249 cas? es were hospitalized in the hospital，their average hospital stays and hospital expenses were 28.92 d and 18 896.13 Yuan，and both of them were increased year by year. Among all the kinds of expenses，the constitution ratios of the medicine expenses were the highest，and those in the 5 years were all above 44%. The results of the univariate and multi?factor analyses showed that the hospital stays，the amount of intraoperative bleeding，liver function classification，postoperative complications，age，portal hy? pertensive gastropathy were the influencing factors of the hospital expenses. Conclusion Conclusion Presently，the burden of the direct hospital expenses of the patients with splenomegalic advanced schistosomiasis is still heavy. The government should further im? prove the proportion of the compensation of medical assistance and perfect the medical aid scheme. Meanwhile，the hospitals should strengthen the management and standardize medical behavior to reduce the hospitalization expenses of the patients.

Key words: Advanced schistosomiasis；Splenomegaly；Medical expense；Hunan Province