多发性硬化患者治疗方法与住院费用相关分析

目的回顾性分析缓解-复发型多发性硬化患者治疗方法与住院费用、住院天数的关系，为临床治疗方案的选择提供参考。方法184例缓解-复发型多发性硬化患者依据治疗方法的不同，对其总住院费用、日均住院费用及药品比例等进行统计学分析。结果分别应用丙种球蛋白、地塞米松及甲泼尼龙治疗的患者，其扩展残疾状态量表（EDSS）平均改善值分别为（2．14±0．34）分、（2．08±0．33）分和（3．20±0．54）分；平均总住院费用分别为（18407．45±4237．52）元、（11479．31±2458．36）元和（17630．07±3681．77）元；日均住院费用分别为（981．33±118．49）元、（530．35±97．12）元和（656．36±102．23）元；平均住院天数分别为（18．8±3．6）d、（22．2±4．2）d和（27．5±3．3）d。结论应用甲泼尼龙的患者，神经系统功能改善优于应用丙种球蛋白和地塞米松的患者，但其总住院费用及日均费用较高。应用丙种球蛋白患者神经系统功能改善不及应用甲泼尼龙的患者，且总住院费用及日均住院费用最高，但平均住院天数最短。临床医师应对疗效、费用和住院天数等因素进行综合考虑，为缓解-复发型多发性硬化患者制订个体化的治疗方案。

The relativity between cost of hospitalization and therapy methods in patients with relapsing-remitting multiple sclerosis

Objective To investigate the value of CT in diagnosis and differential diagnosis in solid-pseudopapillary tumor of pancreas.Methods Ten cases of solid-pseudopapillary tumor of pancreas who were approved by postoperative pathological examination were analyzed retrospectively.All the patients were examined by CT including scan and enhance.Results Low density site occupancy of pancreas were examined by CT.The envelopes of tumors enhanced distinctly,tumor matters enhanced lightly in period of artery and distinctly in period of portal vein,but they were still lower than those in normal tissue of pancreas,the parts of vesicae weren't enhanced.Conclusions The image of solid-pseudopapillary tumor of pancreas has some characteristics.Aggregate analysis on the image can get a right diagnosis preoperatively.