论文部分内容阅读
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 analyze the cost-effectiveness of rehabilitation treatment for adolescent idiopathic scoliosis. Methods: Twenty-four adolescent idiopathic scoliosis patients were divided into rehabilitation group and operation group. Rehabilitation treatment group of 12 cases, take exercise therapy, joint loose, brace treatment; surgery group of 12 patients, to take surgery. Before and after treatment, the Chinese version of the Scoliosis Research Society Questionnaire (SRS-22) was used for quality of life surveys and costs were investigated after 6 months of treatment. Results: At 6 months after treatment, self-image and mental health scores of SRS-22 questionnaire in rehabilitation group were higher than those in rehabilitation group before and after treatment, and the satisfaction degree of treatment was higher than that of surgery group (P < 0.05). The total direct medical costs required for each additional 1 point in the rehabilitation treatment group’s self-image dimension was RMB14,561.07, while the total direct medical expense required for the surgical treatment group for each additional 1 point was RMB74,776.44. Conclusion: Rehabilitation is a cost-effective treatment for adolescent idiopathic scoliosis.