Cost-benefit Analysis on Intracoronary Stent Implantation between Domestic and Imported Drug Eluting Stent
LIAN Wei;WU Qun-hong;Teaching and Research Office of Social Medicine,Harbin Medical University;
Objective To compare the application effect and cost in intracoronary stent implantation between domestic and imported drug eluting stent. Methods A total of 791 coronary heart disease patients undergoing intracoronary stent implantation were selected in a Grade 3 and first-class hospital in 2013,and they were divided into A group( using domestic drug eluting stent,n = 398) and B group( using imported drug eluting stent,n = 393) according to the types of stents. During the intracoronary stent implantation,patients of A group used Shanghai Minimally-invasive Firebird Ⅱ Drug-eluting Stents,while patients of B group received United States Medtronic Endenvor Drug Eluting Stents. Clinical data,operative success rate,locations of coronary artery lesions,number of implanted stents,clinical outcome,hospitalization related expenses and incidence of complications were compared between the two groups. Results Patients of the two groups completed the operation successfully,the operative success rates of the two groups were both 100. 0%. No statistically significant differences of proportion patients with left main coronary artery lesions,with anterior descending branch lesions,with circumflex branch lesions,with posterior descending branch lesions,with obtusemarginal branch lesions,with diagonal branch lesions,with right coronary artery lesions,or number of implanted stents was found between the two groups( P 0. 05). No statistically significant differences of improvement rate was found between the two groups( P 0. 05). No statistically significant differences of examination expense,inspection expense or operation expense was found between the two groups( P 0. 05); ward bed expense,material expense and total hospitalization related expenses of B group were statistically significantly more than those of A group,durg casts of B group was statistically significantly lower than that of A group( P 0. 05). No one of the two groups occurred recurrent angina pectoris,acute occlusion or acute thrombosis during hospitalization. Conclusion Domestic and imported drug eluting stent have similar application effect on intracoronary stent implantation,but using domestic drug eluting stent can significantly reduce the medical expenses.
【CateGory Index】： R541.4