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目的调查初发脑梗死患者的治疗费用,评价初发脑梗死患者的神经功能,为初发脑梗死患者就医和临床医生治疗提供依据。方法采用美国国立卫生院卒中量表(NIHSS)对初发脑梗死患者神经功能进行评价研究,运用秩和检验和多元逐步回归的方法进行统计分析。结果就诊于不同等级医院初发脑梗死患者的NIHSS评分比较无统计学意义,治疗费用和治疗时间在不同等级医院比较有统计学意义;不同发病部位的初发脑梗死患者NIHSS评分和治疗时间比较有统计学意义,治疗费用比较无统计学意义;采用不同治疗措施的脑梗死患者NIHSS评分比较有统计学意义,同治疗措施的治疗费用和治疗时间比较无统计学意义。结论初发脑梗死患者应选择附近二甲或相当水平及以上医院就医,临床医生应选择低成本治疗方案减轻初发脑梗死患者的经济负担。
Objective To investigate the treatment cost of patients with newly diagnosed cerebral infarction and to evaluate the neurological function of patients with newly diagnosed cerebral infarction and to provide evidence for the treatment of patients with initial cerebral infarction and clinicians. Methods The National Institutes of Health Stroke Scale (NIHSS) was used to evaluate the neurological function in patients with primary cerebral infarction. Statistical analysis was conducted using rank sum test and multiple stepwise regression. Results There was no significant difference in NIHSS score between the first visit and the second visit in different grades of hospital. The treatment cost and the treatment time were statistically significant in different grades of hospitals. NIHSS score and treatment time in patients with different incidences of primary cerebral infarction were compared There was statistical significance, the treatment cost was not statistically significant; using different treatment measures in patients with cerebral infarction NIHSS score was statistically significant, with the treatment of treatment costs and treatment time was not statistically significant. Conclusions Patients with newly diagnosed cerebral infarction should choose a nearby hospital or hospital with comparable level or above, and clinicians should choose a low-cost treatment plan to reduce the financial burden of patients with initial cerebral infarction.