农村癫痫人群癫痫治疗的成本-效果分析

Cost-Effectiveness Analysis on the Prevention and Treatment for Patients with Epilepsy in Rural Areas

目的:了解农村癫痫患者中参与管理治疗和自行治疗两组在治疗癫痫的效果和费用方面的情况,为今后癫痫的防治策略提供依据。方法:采用对比分析的方法,将参与项目治疗的613例患者作为项目治疗组,自行治疗的177患者作为非项目治疗组,运用调查问卷的方法比较两组的治疗效果与费用情况。结果:在通过比较后,项目组与非项目组的各项指标均无统计学差异,具有较好的比较性。项目组治疗总费用为1 027.8元每人每年,非项目组为2 409.2元每人每年,在同样的治疗效果下,每有效控制1例癫痫患者的发作,非项目组的是项目组的2.34倍。结论:农村癫痫防治管理项目作为一项在农村推广的适宜技术,应该逐步扩大覆盖的范围,让更多的患者受益。

Objective:To acquire the effects and costs of treating epilepsy for patients with epilepsy participated in administrative treatment and self-treatment,so as to further provide references for preventing and controlling epilepsy.Methods:613 patients participated the programme treatment as the programme treatment group,155 patients with self-treatment as the non-programme treatment group.Questionnaires were adopted to compare the effects and costs of treatment and self- treatment.Results:According to the comparison,the indicators of both the programme group and non-programme group had no statistic difference,which had better relativity.The total cost of treatment in programme group were 1 027.8 yuan per capita per year,non-programme group were 2 409.2 yuan per capita per year.With the same treatment effect,if 1 patient with epilepsy was effectively controlled,the cost of non-programme group was 2.34 times for the programme group.Conclusion:The project of epilepsy prevention and management in rural areas was a appropriate technique to be generalize in rural areas.It needed to gradually expand the covering width,which would benefit more patients.