应用双源CT诊断胸痛的卫生经济学分析  

Cost-effectiveness of dual-source CT in the evaluation of patients with chest pain

作　　者：侯晓林[1] 杨喜耕[1] 曾庆华[1] 黄慧[1] 黄久荣[1] 

机构地区：[1]四川省人民医院心内科,四川成都610071

出　　处：《中国当代医药》2011年第25期83-84,共2页China Modern Medicine

基　　金：2007年四川省医学科学院.四川省人民医院基金(303005002170013)

摘　　要：目的:对疑诊冠心病的低危胸痛患者的两种诊断程序进行卫生经济学评价。方法:采用前瞻性研究方法,根据是否采用双源CT诊断程序,将2007年7月～2009年12月本院心内科确诊的120例胸痛患者分为运动平板组和双源CT诊断程序组,分别接受运动平板或双源CT检查,计算其就诊费用、检查费用、住院时间、确诊时间等,运用经济学最小成本分析法进行评价。结果:两组平均检查费用、平均就诊费用差异无统计学意义,双源CT诊断程序组与运动平板组比较,平均住院时间长(P<0.05);但双源CT诊断程序组接受冠状动脉造影的患者总数显著少于运动平板组(P<0.001)。结论:双源CT诊断程序与普通诊断程序对于胸痛的诊断具有相似的经济学效益,但显著减少了患者接受选择性冠状动脉造影的比例。Objective：To estimate the relative cost effectiveness of alternative strategies to diagnosis of chest pain.Methods：A total of 120 patients with chest pain were divided into two groups according to performin treadmill exercise test（TET） or dual-source CT（DSCT）.The costs of hospitalization and diagnostic testing,and hospital stay were analyzed.Data was evaluated by using the cost minimization analysis.Results：Both group had similar costs of hospitalization and diagnostic testing,but the diagnostic approach with TET had less hospital stay（P〈0.05）;But patients in the DSCT group performing CAG less than the other group significantly（P〈0.001）.Conclusion：Compared to the general diagnostic approach to chest pain,the DSCT diagnostic approach has similar economic value,but this approach can significantly decrease the ratio of performing coronary artery angiography.

关 键 词：冠心病 双源CT 诊断 经济学 

分 类 号：R445.3[医药卫生—影像医学与核医学]