缺血性中风早期康复及避免复发中医方案临床疗效及卫生经济学评价.pdfVIP

提 要 目的：缺血性中风早期康复中医方案与卒中单元模式下的西医干预缺血性中风方 案对比，验证中医方案对缺血性中风早期康复的疗效。方法：本研究共纳入缺血性中 风发病7 天以内患者101 名，使用中国中医科学院临床随机系统分为中医治疗组（包 含灯盏细辛组34 例、苦碟子组33 例）、西医对照组34 例。治疗组按照缺血性中风早 期康复和避免复发中医方案治疗，对照组采用西医常规治疗方法，共治疗6 个月，随 访 12 个月。应用NISSH 、FMI 、BI 、MRS 、SS-QOL 等量表对患者神经功能缺损程 度、肢体运动功能、日常生活能力、致残率/病死率、生存质量五个方面进行比较， 同时采用成本—效果及增量分析进行卫生经济学评价。结果：三组均对患者病情有明 显改善，其中灯盏细辛组在改善患者病情方面与对照组无明显差异；苦碟子组在改善 患者病情方面明显优于对照组；卫生经济学评价显示中医组较对照组住院费用更低。 结论：目前缺血性中风早期康复中医方案疗效高于或等于卒中单元模式下的西医干预 治疗，且中医方案组更加经济实惠。 关键词：缺血性中风 早期康复 中医方案 卒中单元 卫生经济学评价 Ischemic stroke early rehabilitation program of study of traditional Chinese medicine scheme and evaluation of health economics Sρecialty: the study of neuro-medical disease clinical of TCM Author:Sun Changqing Tutor: Pro.Cao Xiaolan Abstract Objective: Ischemic stroke medicine program of early rehabilitation stroke unit mode with the Western intervention in contrast to ischemic stroke programs, verification of ischemic stroke medicine program of the efficacy of early rehabilitation. Methods: This study included a total of 7 days of ischemic stroke in patients with 101 or less, the use of Chinese Medicine Research Institute randomized system is divided into control group, Erigeron group of 33，KuDieZi group of 28, control group of 31.Use of traditional Chinese medicine rehabilitation techniques: massage, acupuncture; KuDieZi group of Chinese medicine-based treatment: KDZ, dialectical him for the medical routine application of traditional Chinese medicine health education. Use of traditional Chinese medicine rehabilitation techniques: massage, acupuncture. Assessed in patients with NISSH, FMI, BI, MRS , SS-QOL ，health economics evaluation six aspects, and compared. Results: The three groups were a sig