CAJ | 학술논문

目的：探讨急性缺血性中风病中医综合治疗方案的疗效及卫生经济学评价，为制定有效、经济、合理的治疗方案提供参考。方法将研究对象分为中医治疗组和西医对照组，疗效观察指标为两组患者治疗前后神经功能缺损程度（N IHSS）评分、日常生活能力 Barthe l（MB I）指数评分、运动功能（FMA）评分、认知功能（MM SE）评分、中风病人生活质量（SS QOL）评分等。运用卫生经济学中的成本效果分析方法进行疗效及经济学评价。结果临床疗效：治疗组在 FMA严重程度、Barthe l指数改善均优于对照组。卫生经济学评价：两组患者在药费、住院总费用方面有统计学意义（ P ＜0．05），治疗组药费、住院总费用低于对照组；住院费、检查费、治疗费等两组无统计学意义（ P ＞0．05）。 N IHSS评分每减少1分，ADL评分每增加1分，FMA评分每增加1分，MM SE评分每增加1分，SSQOL评分每增加1分，治疗组所需花费均较对照组少。结论中医综合治疗方案对于治疗急性缺血性中风病具有显著的疗效，本方案较对照组在达到最佳的治疗效果同时费用使用更加合理，该方案经济、合理、有效。
목적：탐토급성결혈성중풍병중의종합치료방안적료효급위생경제학평개，위제정유효、경제、합리적치료방안제공삼고。방법장연구대상분위중의치료조화서의대조조，료효관찰지표위량조환자치료전후신경공능결손정도（N IHSS）평분、일상생활능력 Barthe l（MB I）지수평분、운동공능（FMA）평분、인지공능（MM SE）평분、중풍병인생활질량（SS QOL）평분등。운용위생경제학중적성본효과분석방법진행료효급경제학평개。결과림상료효：치료조재 FMA엄중정도、Barthe l지수개선균우우대조조。위생경제학평개：량조환자재약비、주원총비용방면유통계학의의（ P ＜0．05），치료조약비、주원총비용저우대조조；주원비、검사비、치료비등량조무통계학의의（ P ＞0．05）。 N IHSS평분매감소1분，ADL평분매증가1분，FMA평분매증가1분，MM SE평분매증가1분，SSQOL평분매증가1분，치료조소수화비균교대조조소。결론중의종합치료방안대우치료급성결혈성중풍병구유현저적료효，본방안교대조조재체도최가적치료효과동시비용사용경가합리，해방안경제、합리、유효。
Objective To explore the effects and health econom ic evaluation of acute ischem ic stroke treated w ith comprehen-sive regimen of traditionalChinese medicine(TCM) .Me thods The patients w ith acute ischem ic stroke were divided into treatment group treated by TCM treatment and control group by western medicine treatment.The N IH S troke Scale (NIHSS) ,Modified Barthe l Index (MBI) ,Fugl MeyerAssessment( FMA) ,Mini Mental State Examination (MMSE) and Stroke Specific Quality of Life Scale (SS QOL) were observed.The effects and health econom ic evaluation were assessed by cost efectiveness analysis(CEA) . Results The FMA andMBI in treatmentgroupwas be tter than that in controlgroup( P < 0.05) .There was no statistical significance in the to-tal costs formedicine and hospitalization be tween two groups( P < 0.05) . The total costs formedicine and hospitalization in treat-ment group was lower than that in control group.Conclusion The comprehensive regimen of TCM for acute ischem ic stroke could improve the effects,and be more economic.