针药结合治疗普通感冒技术在基层卫生机构的应用效果及卫生经济学分析  

Outcomes and Health Economics of Combined Acupuncture and Medicine in Treating Common Cold in Grassroots Health Organizations

作　　者：石学峰[1] 黄晓静[1] 房耘耘[1] 程薇[1] 

机构地区：[1]北京中医药大学,北京市100029

出　　处：《中国全科医学》2011年第31期3649-3651,共3页Chinese General Practice

基　　金：国家"十一五"科技支撑计划重大项目课题"农村卫生服务适宜技术收集应用研究"(2007BAI07A01)

摘　　要：目的研究针药结合治疗普通感冒技术在基层卫生机构的应用效果,为该项适宜技术的推广提供切实的依据。方法以山东省宁阳县四所乡镇卫生院为实施现场,将180例感冒患者随机(按照就诊日期对接受治疗的患者进行治疗方法分配,单号就诊者接受常规技术疗法,双号就诊者接受适宜技术疗法,直到完成设计的样本量)分配到适宜技术组与常规技术组,比较两组患者在疗效、医疗花费等方面的差异。结果治疗7 d后,适宜技术组的治愈率为91.1%,常规技术组的治愈率为79.8%;适宜技术组平均每位患者的治疗总费用为128.58元,常规技术组为367.77元;从成本-效用值来看,适宜技术组的成本效果优于常规技术组的成本效果。结论针药结合治疗普通感冒技术在基层卫生机构取得了较好的效果,降低了患者的经济负担,宜创造条件在基层进一步推广。Objective To study the outcomes of combined acupuncture and medicine application in treating common cold in grassroots health organizations with the hope to provide substantial basis for the popularization of this appropriate health technology. Methods A total of 180 patients with common cold were randomly assigned to the appropriate technology group and the conventional technology group in four township health centers in Ningyang County,Shandong province.Curative effects and medical expenses were compared between the two groups. Results After 7 days of treatment,cure rate and medical expenses per person were 79.8% and 367.77 yuan in the conventional technology group and were 91.1% and 128.58 yuan in the appropriate technology group.The appropriate technology group displayed a higher cost-effectiveness value than the conventional technology group. Conclusion The combination of medicine and acupuncture reduces the economic burden of the patients and displays better effects in treating common cold in grassroots health organizations.This appropriate technology is worth further popularization.

关 键 词：针药结合 感冒 卫生经济 

分 类 号：R511.6[医药卫生—内科学]