康复卒中单元对脑梗死后吞咽困难治疗的疗效观察及卫生经济学评价

 目的 观察康复卒中单元对急性脑梗死后吞咽困难的治疗效果，并进行卫生经济学评价。方法 急性脑梗死伴有吞咽困难患者162例，进入卒中单元病房84例，普通病房78例。卒中单元病房组吞咽困难进行早期康复训练；普通病房组无吞咽困难康复训练计划和专业治疗小组，依患者意愿辅助进食。治疗前后评价吞咽困难改善情况、误吸性肺炎发生率及住院费用、住院时间。结果 卒中单元病房组疗效优于普通病房组（P<0.05），误吸性肺炎发生率低于普通病房组（P<0.05），住院费用（P<0.05）及住院时间（P<0.05）较普通病房组减少及缩短。结论 康复卒中单元有利于脑梗死后吞咽困难的恢复，缩短平均住院时间，减少平均医疗费用。

Therapeutic efficacy and health economic evaluation of stroke rehabilitation unit applied to patients with dysphagia after cerebral infarction

Objective To observe the therapeutic efficacy and evaluate the health economics of stroke rehabilitation unit applied to patients with dysphagia after cerebral infarction. Methods One hundred and sixty-two cerebral infarction patients with dysphagia were assigned to the stroke unit group (84 patients) and the control group (78 patients). Patients in the stroke unit group received rehabilitation training, and patients in the control group did not receive any rehabilitation training program or professional treatment team, and ate on their own will. Dysphagia improvement, incidence of aspiration pneumonia, cost of hospitalization and length of stay were compared between these two groups. Results There was better therapeutic effect (P<0.05), lower incidence of aspiration pneumonia (P<0.05), lower cost of hospitalization (P<0.05), and shorter length of stay (P<0.05) in the stroke unit group compared to the control group. Conclusions Stroke rehabilitation unit is advantageous to dysphagia following cerebral infarction, resulting in better recovery, shorter length of stay, lower cost of hospitalization.