青少年特发性脊柱侧凸康复治疗卫生经济学初步研究  

A preliminary study of the cost-effect evaluation on rehabilitation in patients with adolescent idiopathic scoliosis

作　　者：杜青[1,2,3] 励建安[4] 周璇[2] 王欢[2] 赵黎[5] 陈珽[5] 陈楠[2] 张树新[2] 陆体江[2] 潘晨辉[2] 邓巍巍[2] 梁菊萍[1] 陈佩杰[1] 

机构地区：[1]上海体育学院运动科学学院,上海市200438 [2]上海交通大学医学院附属新华医院康复医学科 [3]上海交通大学医学院附属新华医院崇明分院康复医学科 [4]江苏省人民医院康复医学科 [5]上海交通大学医学院附属新华医院儿童骨科

出　　处：《中国康复医学杂志》2013年第7期615-618,共4页Chinese Journal of Rehabilitation Medicine

基　　金：上海市科学技术委员会资助项目(114119a2700);上海市人类运动能力开发与保障重点实验室(上海体育学院)项目资助(11DZ2261100);上海市残疾人康复科研资助项目(K2012020)

摘　　要：目的:对青少年特发性脊柱侧凸患者康复治疗进行成本-效果分析。方法:24例青少年特发性脊柱侧凸患者分为康复治疗组和手术治疗组。康复治疗组12例,采取运动疗法、关节松动、支具治疗;手术治疗组12例,采取手术治疗。治疗前后均应用中文版脊柱侧凸研究学会患者问卷(SRS-22)进行生存质量调查,并在治疗6个月后进行费用调查。结果:治疗6个月后,康复治疗组患者SRS-22问卷自我形象、心理健康维度得分高于治疗前,康复治疗组患者自我形象、对治疗的满意程度维度得分高于手术治疗组(P<0.05)。康复治疗组自我形象维度得分每增加1分所需要的总直接医疗费用为人民币14561.07元,手术治疗组每增加1分所需要的总直接医疗费用为人民币74776.44元。结论:康复治疗是青少年特发性脊柱侧凸经济有效的治疗方案。Objective： To evaluate the expense of rehabilitation in patients with adolescent idiopathic scohosls I Alb） through the cost-effect analysis, Method： Twenty-four subjects were divided into two groups according to their management： the rehabilitation group received exercise, manipulation and brace; the operation group received surgery. All the subjects were as- sessed with Chinese version of Scoliosis Research Society-22 （SRS-22） health-related quality-of-life （HRQL） questionnaire before and after treatment. At the end of the 6th month, the cost was investigated. Result： At the end of the 6th month, self-image/appearance and mental health for the rehabilitation group were better than before treatment, and self-image/appearance and satisfaction with management were better for the re- habilitation group than for the operation group.The self-image scores were improved 1 point, the total direct medical costs of the rehabilitation group and the operation group were ￥ 14561.07 and ￥ 74776.44 respectively. Conclusion： Rehabilitation is an economical and effective medical strategy for AIS patients.

关 键 词：青少年 特发性脊柱侧凸 康复 成本-效果分析 

分 类 号：R682.3[医药卫生—骨科学]