中医针灸疗法治疗脑卒中的成本效益分析

发布时间：2018-03-11 16:34

本文选题：中医　切入点：脑卒中　出处：《南京中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：“脑卒中”又称“中风”或“脑血管意外”,分为出血性卒中和缺血性卒中,病因主要是脑部血管破裂或血管阻塞,而使得大脑缺血造成脑组织损伤的一种急性脑血管疾病。其中,出血性卒中发病率比缺血性卒中的发病率低,且死亡率高,占脑卒中总数的30%-40%。缺血性脑卒中发病人群一般在40岁以上,男性偏多,一般由狭窄的颈内动脉和椎动脉容易闭塞引起,情况严重的也会造成死亡。我国中医中也有大量治疗方法针对中风问题,其中有很多值得借鉴的思路、方法及治疗经验对现代治疗中风助益良多。现代医学中,大量的研究了中风的定义、病因、病情程度、病理、流行病学和临床症状。本论文中,在对临床中风患者的基础治疗的基础上,为了直观的得到针灸治疗的疗效,对针灸治疗成本效果分析,进而评价其经济价值,设置了基础治疗对照组和针灸治疗组,为了评价针灸的临床疗效,我们对比分析了治疗前后指标和两组近期疗效的表现。处理方法在治疗组中是针灸结合基础治疗,且两组在治疗期间在上述基础治疗之外不使用其它的任何中西药物。在治疗两个月后,评定其疗效,将所得结果使用统计软件进行统计分析,比较时既进行组间比较,还有组内前后比较。数据分析结果表明,治疗组在疗效上优于对照组,且其在各种成本上的花费比对照组低,说明治疗组的经济学价值比对照组好。由此得出本文结论：通过对比针灸组治疗中风的临床疗效,治疗组在疗效和花费的表现都优于对照组,且无治疗的不良事件出现,表明治疗组的疗效比对照组好,且成本效果比对照组低,这说明在中风的临床治疗上,针灸治疗不仅疗效表现优良,且经济学价值极高。
[Abstract]:"Stroke" and "stroke" or "cerebral vascular accident, divided into hemorrhagic stroke and ischemic stroke are the main causes of brain vascular rupture or vascular obstruction, which caused an acute cerebral ischemic cerebrovascular disease cerebral injury. The incidence of hemorrhagic stroke than the onset of ischemic stroke low rate and high mortality, stroke accounted for 30%-40%. of the total number of ischemic stroke in the general population over the age of 40, male ones, generally by the stenosis of internal carotid artery and vertebral artery occlusion caused easily in severe cases, may cause death. Traditional Chinese medicine also has a lot of methods of treatment for stroke, including a lot of valuable ideas, methods and experience in the treatment of many of the modern treatment of stroke benefit. In modern medicine, a lot of research on the stroke definition, etiology, severity of disease, pathology, epidemiology and clinical symptoms. In this paper, based on the basis of clinical treatment of stroke patients, in order to obtain curative effect of acupuncture and moxibustion, acupuncture treatment effect analysis on the cost, and to evaluate its economic value, set up the control group and acupuncture treatment group basic treatment, in order to evaluation of clinical curative effect of acupuncture, we compared and analyzed before and after treatment and two index group efficacy performance. Treatment methods in the treatment group was treated by combination of acupuncture and foundation, and the two groups during treatment in addition to the above basic treatment does not use any other medicine. After two months of treatment, the efficacy was assessed, the results using statistical software for statistical analysis, both groups compared when there are within groups. The data analysis results show that the effect in the treatment group than the control group, and the cost of the cost in all lower than the control group, the treatment group shows that economics The value was better than the control group. Then the thesis draws a conclusion: the clinical curative effect of acupuncture treatment of stroke through the contrast group, the treatment group in the efficacy and cost performance are better than the control group, and no treatment of adverse events, show the efficacy of the treatment group was better than the control group, and the cost is lower than that of control group, which indicates that in clinical the treatment of stroke, acupuncture treatment effect not only excellent performance, and high economic value.

【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.6

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