综合康复方案治疗缺血性脑卒中的卫生经济学评价  

Health Economics Evaluation in Comprehensive Rehabilitation in the Treatment of Ischemic Stroke

作　　者：齐瑞[1] 严隽陶[1] 汪涛[1] 钱义明[1] 

机构地区：[1]上海中医药大学附属岳阳中西医结合医院康复科,上海200437

出　　处：《中国康复》2009年第3期162-164,共3页Chinese Journal of Rehabilitation

基　　金：上海市科委重大项目(NO.03DZ19705);上海市重点学科建设项目(NO.T0302)资助

摘　　要：目的:比较综合康复方案与药物为主治疗脑梗死患者成本-效果方面的差异。方法:70例脑梗死患者随机分为综合组和对照组各35例,综合组按患者病程分期融合药物、针刺、推拿、运动疗法、作业疗法等综合康复方案治疗;对照组以药物治疗为主。治疗前后均进行临床效果和卫生经济学评价。结果:治疗3个月后,与对照组比较,综合组神经功能缺损评分及改良Rankin量表(MRS)评分每减少1分分别少花费393.74元及2308.8元;ADL每升高5分少花费619.4元。结论:与常规方法比较,综合康复对改善脑梗死患者的运动功能显示出更经济,疗效更显著的优势。Objective： To observe the differences in cost-effectiveness between the group with comprehensive rehabilitation therapy and the control group in the treatment of cerebral infarction. Methods： Seventy patients with cerebral infarction were randomly divided into rehabilitation group and coi~,trol group, 35 each. Patients in rehabilitation group were treated with comprehensive rehabiIitation therapy, while those in the control group with medicine treatment. Clinical effectiveness and health economics were evaluated before, and 3 months after the treatment. Results： Compared with con- trol group, the rehabilitation group could cut 393. 7 RMB expenses if neurologic impairment score＇diminished per one point, cut 619.4 RMB expenses if ADL increased per 5 points, and cut 2308.8 RMB if MRS risen per one level. Conclu- sion： Compared with control group, the comprehensive rehabilitation group was more economical on improving motor function.

关 键 词：综合康复 脑梗死 卫生经济学评价 

分 类 号：R49[医药卫生—康复医学] R743.3[医药卫生—临床医学]