摘要
目的:探讨卒中单元(stroke unit,SU)模式综合管理治疗重症血栓形成性脑梗死(CI)的临床疗效及卫生经济学评价。方法:将130例重症(CI)患者随机分为SU组(68例)和非卒中单元组(62例),两组患者分别接受SU模式治疗及常规治疗1个月,对比分析两组患者的感染率、多脏器功能衰竭(MOF)发生率、病死率,神经功能(NIHSS)、生活能力(Barthel)、社会功能(OHS)评价及人均住院时间、人均住院费、人均药费、人均康复费。结果:治疗后,与非SU组比较,SU组感染率、MODS发生率、病死率、显著降低;NIHSS、Barthel、OHS评定显著改善;人均住院时间、人均药费显著减少。2组人均住院费无显著差异,SU组人均康复费显著增加。结论:在总体相同的经济投入下,卒中单元模式对重症(CI)患者的疗效显著优于普通住院治疗模式。
Objective：To explore the clinical curative effect and health economics evaluation of the stroke unit （SU） for the patients with serious cerebral infarction. Methods： One hundred and thirty inpatients with serious cerebral infarction were randomly divided into SU group （68） and non-stroke unit group （62）and received the different management respectively for 1 month. The kev indexes recorded included infectious rate,multiple organ failure（MOF） rate,hospital mortality rate,National Institutes of Health Stroke Scale （NIHSS）,Barthel Index （BI）,Oxford Handicap Scale （OHS） and average length of inpatient stay,expenditure of inpatient,medicine cost,rehabilitation cost. Results： After the treatment,there was significant difference in the infectious rate,MOF rate,hospital mortality rate,NIHSS,BI,OHS,average hospitalization duration and medicine cost.It was approved that SU group surpassed non-SU group in these parameters.The average expenditure of inpatient had no significant difference between two groups,but the average rehabilitation cost in SU group was more than that in non-SU group. Condusion：In the same economic situation,SU excels general ward mode for the treatment of serious cerebral infarction inpatients.
出处
《中国当代医药》
2009年第6期14-16,共3页
China Modern Medicine
基金
2008年佛山市医学类科技攻关项目(项目编号:200808014)
