脊髓损伤（不完全性）后期康复中医临床路径的成本-效果分析  

Cost effectiveness Analysis on Anaphase Rehabilitation Spinal Cord Injury

作　　者：魏锦辉[1] 谢韶东[1] 谭护群[1] 李祖荣[1] 荆丽波 官海华[1] Wei Jinhui(Department of orthopedic surgery ward, FoShan hospital of traditional Chinese medicine, Guangdong 52800)

机构地区：[1]佛山市中医院骨科中心骨13科——康复医学科,广东佛山528000

出　　处：《中国伤残医学》2018年第7期16-20,共5页Chinese Journal of Trauma and Disability Medicine

基　　金：佛山市科技局课题（项目编号：2015AB00364）

摘　　要：目的：观察现有诊疗方法与应用中医临床路径治疗脊髓损伤（不完全性）（ISCI）后期功能康复效果的差异，分析其成本-效果，从而评价中医临床路径在ISCI后期康复中的临床疗效，为中医临床路径提供优化方案。方法：将符合标准的ISCI患者60例，按随机数字法分为观察组、对照组，每组30例，给予不同的治疗方案（观察组予中医临床路径方案，对照组予传统方案），术后随诊2年。结果：组别相比，差异有统计学意义（P〈0．01）。统计学分析显示，其中观察组在膀胱排尿功能、下肢减重步行等训练恢复较快，临床体征、症状缓解最好。结论：通过卫生经济学分析（成本-效果），在ISCI后期康复治疗中应用中医临床路径，让临床更有计划、更有预见为患者提供治疗，使患者在最大限度内、在最短时间内获得康复，减少临床医疗费用。Objectiv： To observe the difference of the effects between by the existing clinical methods and by the clinical pathways of TCM in the treatment of ISCI anaphase functional rehabilitation, andto analyse their Cost effectiveness, in order to evaluate the effects of anaphase rehabilitation ISCI by Clinical Pathway of TCM, for the clinical pathways of TCM provide optimization programs. Methods： Sisty patients with ISCI were randomly divided into observation group. Thirty patients in each group were treated with different treatment regimen. followed up for 2 years. Results： The difference was statistically significant （ P 〈0.01 ）. Statistical analysis showed that the observation group in the treatment, bladder voiding function, weight loss plate walking were relieved best. Conclusion： The clinical pathways of TCM is applied to the treatment of ISCI by means of health economics analysis （ cost effectiveness）, so that clinical treatment is more planned and more predictable for patients.

关 键 词：脊髓损伤(不完全性) 后期康复 中医临床路径 卫生经济学分析(成本-效果) 

分 类 号：R493[医药卫生—康复医学]