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一般认为脑卒中预防的四种策略对降低卒中的危险是有效的,即高血压病人的降压治疗;慢性房颤病人的抗凝治疗;TIA和小卒中病人的阿司匹林治疗和同侧颈动脉狭窄≥70％的一类病人的颈动脉内膜血栓切除术的治疗。本文以瑞典为例(人口850万),探讨这些预防途径的成本和效益。 脑卒中的费用 卒中的总费用包括直接费用(住院医疗费、家庭护理医疗费、出院病人医疗费、社会服务费、技术指导和家庭重建费)和间接费用(收入的减少,疾病保险赔偿费、因卒中退休的费用)两种。1988年,瑞典脑卒中病人住院和家庭护理的床
Four strategies for stroke prevention are generally considered to be effective in reducing the risk of stroke: antihypertensive treatment in hypertensive patients; anticoagulant therapy in patients with chronic atrial fibrillation; aspirin treatment in patients with TIA and minor stroke and ipsilateral carotid artery stenosis Carotid endarterectomy for ≥70% of patients. Taking Sweden as an example (population 8.5 million), this article explores the costs and benefits of these prevention approaches. Stroke costs The total cost of a stroke includes direct costs (hospitalization, home care, discharged patients, social services, technical guidance and home reconstruction) and overhead (reduced income, sickness insurance, Due to the cost of stroke retirement) two. In 1988, a Swedish hospital bed for stroke patients and home care