初发脑梗死患者费用效果调查研究

目的调查初发脑梗死患者的治疗费用，评价初发脑梗死患者的神经功能，为初发脑梗死患者就医和临床医生治疗提供依据。方法采用美国国立卫生院卒中量表（NIHSS）对初发脑梗死患者神经功能进行评价研究，运用秩和检验和多元逐步回归的方法进行统计分析。结果就诊于不同等级医院初发脑梗死患者的NIHSS评分比较无统计学意义，治疗费用和治疗时间在不同等级医院比较有统计学意义；不同发病部位的初发脑梗死患者NIHSS评分和治疗时间比较有统计学意义，治疗费用比较无统计学意义；采用不同治疗措施的脑梗死患者NIHSS评分比较有统计学意义，同治疗措施的治疗费用和治疗时间比较无统计学意义。结论初发脑梗死患者应选择附近二甲或相当水平及以上医院就医，临床医生应选择低成本治疗方案减轻初发脑梗死患者的经济负担。

Study on cost-effectiveness of primary cerebral infarction patients

Objective To study cost-effectiveness of primary cerebral infarction patients. Methods The neural function of primary cerebral infarction patients was studied by the National Institutes of Health Stroke Scale （NIHSS） with rank test and multiple regression analysis. Results After treatment in hospitals of different grades, no obvious difference was detected in the NIHSS score, but difference was found in therapy cost and therapy time; the NIHSS score and therapy time of primary cerebral in- farction patients in different attack positions were obviously different, but therapy cost had no significant statistical difference. The NIHSS score of primary cerebral infarction patients with different treatments was obviously different, but therapy cost and therapy time was not. Conclusions Patients are advised to choose grade hospitals in nearby cities for treatment. Clinician are expected to choose low-cost treatment plan to relieve patients＇ economic burden.