摘要
目的:观察急性脑梗死患者在中西医结合卒中单元管理模式干预下的治疗效果和卫生经济学评价。方法:将90例急性脑梗死患者随机分为治疗组与对照组,每组45例。治疗组予中西医结合卒中单元管理模式方案,对照组予西医卒中单元管理模式方案。两组疗程均为2周,随访6个月,观察比较NIHSS评分、Barthel指数及相关医疗费用的情况。结果:①治疗前与治疗2周、治疗后6个月组内比较,两组NIHSS评分、Barthel指数差异均有统计学意义(P<0.05)。组间治疗2周、治疗后6个月比较,治疗组NIHSS评分、Barthel指数的改善均优于对照组(P<0.05)。②治疗组住院费用高于对照组(P<0.05),但就诊6个月内相关医疗总费用治疗组低于对照组(P<0.05)。结论:中西医结合卒中单元管理模式可以明显改善急性脑梗死患者的神经功能缺损及日常生活能力,并能减少相关医疗费用,具有良好的临床疗效和经济效益。
Objective:To observe the therapeutic effect and health economics evaluation of patients with acute cerebral infarction under the intervention mode of management pattern of stroke unit with integrated traditional Chinese and western medicine.Methods:Ninety patients with acute cerebral infarction were randomly divided into treatment group and control group,45 cases in each group.The treatment group was given the combined Chinese and western medicine stroke unit management model for intervention,and the control group was given the western medicine stroke unit management model.The treatment course of both groups was 2 weeks,followed up for 6 months.NIHSS score,Barthel index and related medical expenses were observed and compared.Results:①There were statistically significant differences in NIHSS score and Barthel index between the two groups before treatment,2 weeks after treatment and 6 months after treatment(P<0.05).The improvement of NIHSS score and Barthel index in the treatment group was better than that in the control group at 2 weeks and 6 months after treatment.The improvement of NIHSS score and Barthel index in the treatment group was better than that in the control group at 2 weeks and 6 months after treatment(P<0.05).②The hospitalization cost in the treatment group was higher than that in the control group(P<0.05),but the total medical cost within 6 months in the treatment group was lower than that in the control group(P<0.05).Conclusion:The management pattern of stroke unit with integrated traditional Chinese and western medicine can significantly improve the neurological deficit and daily living ability of patients with acute cerebral infarction,and reduce related medical expenses.It has good clinical efficacy and economic benefit.
作者
段家峰
黄国毅
朱瑾
胡春梅
周叶
DUAN Jiafeng;HUANG Guoyi;ZHU Jin;HU Chunmei;ZHOU Ye(Department of Neurology,Shanghai Baoshan District Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai 201999,China)
出处
《上海中医药大学学报》
CAS
2022年第S01期1-3,15,共4页
Academic Journal of Shanghai University of Traditional Chinese Medicine
基金
上海市卫计委科研项目(201640195)
关键词
中西医结合卒中单元管理模式
急性脑梗死
预后
卫生经济学评价
management pattern of stroke unit with integrated traditional Chinese and western medicine
acute cerebral infarction
prognosis
health economics evaluation
作者简介
段家峰,男,硕士,主治医师,主要从事中西医结合治疗脑血管疾病的临床研究;通信作者:黄国毅,副主任医师,E-mail:13681641933@163.com;通信作者:朱瑾,主治医师,E-mail:jiafengduan0115@sina.com
