目的:探讨中西医结合、单纯西医两种治疗方案对急性脑梗死的治疗效果和经济效果。方法:运用卫生经济学中的成本-效果分析方法对中西医结合、单纯西医治疗急性脑梗死进行疗效及经济学评价。结果:对于急性脑梗死,中西医结合治疗方案优于单纯西医治疗方案。结论:对于急性脑梗死的临床治疗,中西医结合治疗方案较单纯西医治疗方案有明显的经济学优势,是值得临床推广的治疗方案;本研究提示卫生经济学在优化治疗方案和帮助临床决策过程中选择最佳治疗方案,在最小成本获得最大效益方面具有重要指导作用。

Author discussed the therapeutic and economic effects of two therapeutic plans: a plan combining both traditional and western medicines, and a pure western plan, in treating acute cerebral infarction. In the study, a cost/effect analytic approach was used to estimate health economics of the two plans in treating acute cerebral infarction.Authors found that the combined plan produced a better result of treating acute cerebral infarction, compared with the pure western plan. It is concluded that in the context of clinical treatment of acute cerebral infarction, the combined plan is obviously economically worthy for further diffusions. The study also shows that health economics is able to optimize therapeutic plans, making a useful tool for choosing a best therapeutic solution for maximum benefits with a minimum cost.

国家重点基础研究发展规划项目(2003CB517103):证候规范及其与疾病、方剂相关的基础研究，负责人：王阶;“十五”国家科技攻关计划项目(2004BA721A01H09):名老中医治疗心脑血管疾病临证经验及疗效评价研究，负责人：王阶。