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目的对儿童血管迷走性晕厥(VVS)的传统诊断程序与新诊断程序进行卫生经济学评价。方法采用回顾分析方法,根据不同的诊断程序(即传统诊断程序和新诊断程序),将1995年1月至2005年5月北京大学第一医院儿科确诊的81例VVS患儿分为2组,分别计算其就诊费用、检查费用、住院日、确诊日等,运用经济学最小成本分析法进行评价。结果新诊断程序的平均就诊费用比传统诊断程序少耗费1668.80元;新诊断程序的平均就诊检查费用比传统诊断程序少耗费1413.30元。结论新诊断程序对确诊儿童血管迷走性晕厥具有良好的经济学效益,值得临床推广。
Objective To evaluate the health economics of traditional diagnostic procedures and new diagnostic procedures for children with vasovagal syncope (VVS). Methods A retrospective analysis method was used to divide 81 pediatric patients with VVS diagnosed from the first hospital of Peking University from January 1995 to May 2005 according to different diagnostic procedures (ie, traditional diagnostic procedures and new diagnostic procedures) Calculate the cost of their visits, examination fees, hospitalization days, diagnosis, etc., the use of economics, the minimum cost analysis for evaluation. Results The average cost of the new diagnosis program was 1668.80 yuan less than the traditional diagnosis program. The average cost of the new diagnosis program was 1413.30 yuan less than that of the traditional diagnosis program. Conclusion The new diagnostic procedure has good economic benefits for diagnosing vasovagal syncope in children, and is worthy of clinical promotion.