急性缺血性中风的回顾性资料分析及卫生经济学评价-中医内科学专业论文.docx

to improve cerebral circulation of 215 cases of drugs, including buflomedil frequency of use thanhigh, accounting for 45.12%; application of neuroprotective drugs in 285 cases, which cell the citicoline the frequency of use maximum, up to 67.02%. High blood pressure medication most applications with ACEI CCB class, each accounting for 38.77%, 42.51%. The diabetes medication metformin and sulfonylurea application more, each accounting for 44.74%, 26.32%. Dyslipidemia medication which statins used most frequently, accounting for 84.44% 5. Expensive cost of treatment of acute ischemic stroke, patients with heavy economic burden, and utilization of Chinese medicine is relatively low, Chinese medicine in the treatment of stroke has not yet attracted enough attention, while Chinese medicine treatment and effective treatment using enough.the treatment is not standardized, and does not reflect the role of Chinese medicine in the treatment of stroke. Therefore, further research is needed to develop the Chinese medicine treatment options in line with the situation in the province of our province, and has important practical value and practical significance. Key words ischemic stroke; epidemiology; retrospective analysis; health economics 目 录 引 言 1 临床研究 2 1.一般资料 2 2.病例入选标准 2 2.1 西医诊断标准： 2 2.2 中医诊断标准 2 2.3 中医辨证诊断标准： 2 2.4 纳入标准： 3 2.5 排除标准： 4 3．临床疗效评定标准 4 4.研究方法 4 4.1 调研方法 4 4.2 调研单位 4 4.3 调查内容 4 4.4 统计处理 5 调查结果 6 1 .一般资料 6 1.1 年龄、性别分布 6 1.2 既往病史 6 1.3 病程分布 7 1.4 体型 7 1.5 病灶分布 7 1.6 治疗前中医症状统计 8 1.7 中医辨证分型分布情况 8 1.8 住院时间 9 2. 治疗情况 10 2.1 治疗方法 10 2.2 药物使用情况 10 3.治疗结果 15 3.1 临床疗效 15 3.2 中医各证型与临床疗效的关系 16 3.3 治疗前后中医症状情况 16 4．住院费用情况 17 4.1 患者住院总费用 见表 23、表 24。 17 4.2 各项住院费用情况 18 5.结论 20 5.1.急性缺血性中风病多见于中老年人，发病率男性略高于女性。 20 5.2.急性缺血性中风病合并症多见，多种疾病共为一体。 20 5.3.急性缺血性中风病中药使用情况 20 5.4. 急性缺血性中风病西药使用情况 21 讨 论 22 1.缺血性中风的流行病学资料 22 2.中风病中医证候分布及演变规律的研究 22 3.中风病中医证候与影像学指标相关性研究 23 4.中医治疗研究 24 4.1 分期论治 24 4.2 治法 24 4.3 专方专治 25 4.4 针灸治疗 25 4.5 中西结合治疗 26