摘要
目的研究脑卒中患者在卒中单元模式下的治疗效果和经济成本效益。方法 169例脑卒中患者随机分为卒中单元组(82例)和普通病房组(87例),观察其病死率、住院时间、神经功能评价(NIHSS)、 Barthel指数(BI)、和住院费用。结果卒中单元组和普通病房组的住院时间无明显差异性(P>0．05);住院费用卒中单元组比普通病房组高,且有显著差异性(P<0．05);两组间出入院BI平均差值(卒中组22．41±22．57 分,普通病房组为10．27±21．66分)和NIHSS平均差值(卒中单元组减少3．01±5．65分,普通病房组减少 1．02±6．92分)均有显著性差异(P<0．05);住院病死率卒中单元组比普通病房组低。结论和普通病房组相比,卒中单元组可减少患者的病死率,促进患者的功能恢复,提高其日常生活能力,但增加了患者的费用, 不过费用增加对患者的恢复仍具有较好的成本效益。
Objective To investigate the therapeutic and economic effects of stroke unit for patients with stroke .Methods 169 of acute stroke patients were admitted into department from January to December 2004. All patients were assigned either into stroke unit or general ward randomly to receive treatment .The data of two group of patients were collected and compared .The main observation indexes were Barthel index （BI）,national instittuties of health stroke scale （NIHSS）,and mortality, and the cost. All these data, were analyzed with SPSS soft packs.Results The mean BI gap score between the day of admission that of discharge was 22.41±22.57 in SU group and 10.27±21.66 in GW group,which had significant difference;the mean NIHSS gap score was -3.01±5.65 in SU group and -1.02±6.92 in GW group, which had significant difference,and the total cost in SU is more than in GW, but in SU can improve BI and NIHSS with less cost.Conclusion In comparision with that of general ward, SU is able to the daily activities in early stage,reducing the mortality, althought the cost is more,but the pataints can get more benefits from this.
出处
《医学新知》
CAS
2006年第1期27-28,31,共3页
New Medicine
关键词
脑卒中
卒中单元
疗效
成本效益
stroke： stroke unit
effect oftreatment
cost -benefit analysis
