人工膝关节置换术早期康复的卫生经济学评价  

Evaluation of health economics of early rehabilitation for artificial knee joint replacement

作　　者：陈磊[1] 张兆波[1] 宗蓓蓓[1] 张庆沙[1] 

机构地区：[1]淄博市中心医院,山东淄博255036

出　　处：《中国康复》2016年第1期48-50,共3页Chinese Journal of Rehabilitation

摘　　要：目的:探讨早期康复治疗对人工膝关节置换术(TKA)的卫生经济学影响。方法:TKA患者64例,随机分为对照组与康复组各32例,对照组给予常规骨科治疗、骨科康复知识宣教与连续被动运动(CPM)机训练等;康复组此基础上加入早期康复介入治疗。术后第2天与出院前采用关节活动度(ROM)、肢体周径、日常生活活动能力(ADL)评分、美国特种外科医院评分系统(HSS)等指标评定2组患者功能恢复效果;采用平均住院日、住院各项费用等指标评估2组患者经济效果。结果:2组患者出院时与术后第2天比较,ROM、ADL、HSS均有显著改善(P<0.05),且康复组以上指标均优于对照组(P<0.05)。康复组平均住院日明显低于对照组(P<0.05),2组住院费用差别无统计学意义。结论:早期康复治疗可有效改善TKA患者功能状态,缩短患者住院周期,增加床位周转率,是值得临床推广的有效、经济、合理的治疗方法。Objective：To investigate the influence of early rehabilitation on the health economics of the artificial knee joint replacement（TKA）.Methods：Sixty-four patients undergoing TKA were randomly divided into control group and rehabilitation group（n=32each）.The control group and rehabilitation group were given conventional orthopedics treatment,orthopedics rehabilitation knowledge education and CPM training,etc.In addition,rehabilitation group was also given early rehabilitation treatment.On the postoperative day 2and before discharge,range of motion（ROM）,hindlimb diameter,activities of daily living（ADL）score,and the hospital for special surgery（HSS）score were used to evaluate functional recovery of two groups.The average hospital stay and hospitalization expenses were used to evaluate the economic effect of the two groups.Results：On the postoperative day 2and discharge,ROM,ADL score,and HSS score were significantly improved in two groups（P〈0.05）,more significantly in the rehabilitation group than in the control group（P〈0.05）.The average hospital stay in the rehabilitation group was significantly shorter than in the control group（P〈0.05）.There was no significant difference in hospitalization expenses between two groups.Conclusions：Early rehabilitation can effectively improve the functional status of TKA patients,shorten the hospitalization period and increase the turnover rate of beds,which is an effective,economical and reasonable treatment method.

关 键 词：膝关节置换术 早期康复 卫生经济学 

分 类 号：R687.4[医药卫生—骨科学]