青少年特发性脊柱侧凸康复治疗卫生经济学初步研究

关键词：青少年  特发性脊柱侧凸  康复  成本-效果分析

Keywords:adolescence  idiopathic scoliosis  rehabilitation  cost-effect analysis

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。

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.