三种不同方法治疗颅内血肿的疗效和住院费用分析

Studies of Health Economics on Three Different Methods of Treatment of Intracranial Hematoma

目的:比较3种不同方法治疗颅内血肿的疗效及住院费用,为农村县级医院推广此项技术提供科学依据。方法:通过抽取2004年7月—2006年6月2所县级医院开展颅内血肿微创清除术后310份颅内出血或者脑外伤致颅内血肿病案的研究,对3种治疗方法的疗效进行了卫生经济学评价。结果:颅内血肿微创清除术的病死率为7.14%,较开颅手术减少了12.86%,较内科保守治疗减少了3.55%,平均(12.25%)减少了5.11%;较其他手术方法人均住院费用减少了706.62元,日人均住院费用减少了161.35元,药费、诊疗费和陪护费都是减少的。结论:颅内血肿微创清除术是一项具有致死率低、治疗费用低等优势的技术,因此,在县级医疗机构中具有很大的推广应用价值。

Object compared the effects and economic value of three different methods for treat intracranial hematoma; it provides a scientific basis for rural hospitals in the county level to promote this technology. Method from July 2004 to June 2006, Selected two county hospital intracranial hematoma after minimally invasive technique to remove 310 copies of brain hemorrhage or brain injury to cases of intracranial hematoma. Make evaluation of the effects of treatment and the health economics of three methods. Results intracranial hematomas debridement technology mortality rate is 7.14%, it was reduced by 12.86% compared with craniotomy, compared with conservative treatment reduced by 3.55%, the average （12.25%） reduce 5.11%.It was reduced 706.62 yuan per-capita hospital costs than other surgical methods, the per capita per day to reduce hospitalization costs 161.35 yuan, the medcine costs, the treatment costs and the accompany staff costs are reduced. Conclusion intracranial hematomas debridement technology is a low mortality rate, low-cost in hospital, it is appropriate to promote and applicate in medical institutions in the county level.