光动力疗法治疗颌面部和颈部痰患者的临床和经济效益

L. A. Cherniak, M. Surmach
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摘要

背景。治疗颌面部痰症患者是现代颌面外科亟待解决的问题。目的对颌面部和颈部痰鸣症患者术后局部光动力疗法(PDT)与传统治疗方法的有效性进行临床和经济评估。材料和方法研究并分析了对确诊为 "颌面部和颈部痰肿"(ICD-10:L03.2)的患者采用局部光动力疗法治疗的临床和经济特征。经济效益根据成本效益分析进行评估。确定了因缩短住院时间而避免直接损失(住院治疗、支付临时残疾津贴)和间接损失(国内生产总值损失)的经济效益。结果。无论是从临床角度(缩短清理伤口化脓坏死组织的时间、缓解水肿、消除浸润、出现肉芽、缩短住院治疗时间),还是从经济角度(1 名患者使用光动力疗法住院治疗期间的总体经济效应为 3092.67 比索),局部应用光动力疗法都具有优势。结论研究结果表明,在颌面部和颈部痰症患者的复杂治疗中更广泛地局部使用光动力疗法在临床和经济上都是可行的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
CLINICAL AND ECONOMIC EFFECTIVENESS OF PHOTODYNAMIC THERAPY IN THE TREATMENT OF PATIENTS WITH PHLEGMON OF THE MAXILLOFACIAL AREA AND NECK
Background. Treatment of patients with phlegmon of the maxillofacial area is an urgent problem in modern maxillofacial surgery. Objective. To conduct a clinical and economic evaluation of the local photodynamic therapy (PDT) effectiveness during the postoperative period in comparison with traditional treatment in patients with phlegmon of the maxillofacial area and neck. Material and methods. Clinical and economic features of treatment of patients with a confirmed diagnosis of “Phlegmon of the maxillofacial area and neck” (ICD-10: L03.2) with local use of PDT were studied and analyzed. Economic efficiency was evaluated based on the cost-effectiveness analysis. The economic effect of preventing direct damage (for inpatient treatment, payment of temporary disability benefits) as well as indirect damage (loss of gross domestic product) because of reduced hospital length of stay has been determined. Results. The advantage of a local application of PDT both from a clinical point of view (reducing the time for cleansing a wound from purulent-necrotic masses, relieving edema, resolving infiltrate, the appearance of granulations, reduced length of inpatient treatment) and from an economic point of view (the overall economic effect for the period of inpatient treatment of 1 patient with PDT was 3092.67 BYN) has been shown. Conclusion. The results demonstrate the clinical and economic feasibility of wider local use of PDT in the complex treatment of patients with phlegmon of the maxillofacial area and neck.
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