| 杜 青,励建安,周 璇,王 欢,赵 黎,陈 珽,陈 楠,张树新,陆体江,潘晨辉,邓巍巍,梁菊萍,陈佩杰.青少年特发性脊柱侧凸康复治疗卫生经济学初步研究[J].中国康复医学杂志,2013,28(7):615~618 |
| 青少年特发性脊柱侧凸康复治疗卫生经济学初步研究 点此下载全文 |
| 杜 青 励建安 周 璇 王 欢 赵 黎 陈 珽 陈 楠 张树新 陆体江 潘晨辉 邓巍巍 梁菊萍 陈佩杰 |
| 上海体育学院运动科学学院，上海市，200438 |
| 基金项目：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） |
| DOI： |
| 摘要点击次数: 2734 |
| 全文下载次数: 2849 |
| 摘要： |
| 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。 |
| 关键词：青少年 特发性脊柱侧凸 康复 成本-效果分析 |
| A preliminary study of the cost-effect evaluation on rehabilitation in patients with adolescent idiopathic scoliosis Download Fulltext |
|
| Dept. of Kinesiology，Shanghai University of Sport，Shanghai，200438 |
| Fund Project: |
| Abstract: |
| Abstract
Objective: To evaluate the expense of rehabilitation in patients with adolescent idiopathic scoliosis (AIS) 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 assessed 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 rehabilitation 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. |
| Keywords:adolescence idiopathic scoliosis rehabilitation cost-effect analysis |
|
| 查看全文 查看/发表评论 |
