急性脑梗死患者住院治疗循证经济学研究

Research of Evidence-based Economics on Acute Cerebral Infarction Inpatient Care Patients

目的了解不同治疗措施对急性脑梗死患者住院治疗成本和效果的影响。方法选择40家医院在2006年3月7日～6月20日期间内收治的初发急性脑梗死患者进行问卷调查,有效病例共368例,数据分析采用t检验或Willcoxon(两组),方差分析或Kruskal-Wallis检验(多组)。结果不同治疗措施对患者的卫生成本和发病后3个月时间段的生活质量改善没有影响,但辅以物理治疗对患者的住院时间和神经功能改善具有影响。结论不同治疗措施对急性脑梗死患者的治疗成本和治疗效果没有显著影响,早期应用物理治疗作为辅助治疗能明显改善患者治疗效果。

Objectives To study the different treatment measures on the cost of hospital treatment of acute cerebral infarction patients and treatment effect. Methods The initial treatment of patients with acute cerebral infarction was conducted a questionnaire survey in 40 hospitals from March 7 to June 20 of 2006. A total of 368 cases were effective,and the data were analyzed using t test or Willcoxon (two groups),analysis of variance or Kruskal-Wallis test (multiple groups).Results After different treatment measures using for 3 months,the patients quality of life and health cost had no significant difference between measures,but supplemented by physical therapy (PT) has an impact in the patient's length of stay and improve neurological function.Conclusions No significant effect in different treatment measures to patients' therapeutic effect and the cost,early application of PT adjuvant therapy can significantly improve the therapeutic effect in patients.