急性脑梗死偏瘫患者早期康复治疗的成本-效果评价

The evaluation of the cost-effect on the early rehabilitation in the acute cerebral infarction with hemiplegia

目的探讨急性脑梗死偏瘫患者早期康复治疗的成本-效果。方法选择急性脑梗死偏瘫患者124例,按随机数分配法分为早期康复治疗组(62例)和对照组(62例),于入院48 h及治疗3个月后,采用美国国立卫生院卒中量表(NIHSS)和日常生活活动能力量表(ADL)进行评分;并详细记录患者住院期间的护理费、药费、康复费、化验费、床位费、检查费、其他费用和总费用,对两组患者进行成本-效果评价。结果早期康复组的护理费、药费、床位费及总费用低于对照组,差异有统计学意义(P<0.05);以NIHSS和ADL改善百分比做标准的成本效果比,早期康复组优于对照组,差异有统计学意义(P<0.05)。结论对急性脑梗死偏瘫患者进行早期康复,虽然有康复费用,但成本效果比好。

Objective To investigate the cost-effect of the early rehabilitation in the acute cerebral infarction with hemiplegia.Methods All 124 cases of the acute cerebral infarction with hemiplegia were randomly divided into two groups：62 cases were the early rehabilitation group,62 cases were the control group.The evaluation was completed by the NIHSS Scale and the ADL Scale.The costs about nurse care,medicine,bed,laboratory test,check,other costs and the total costs of the patients spent in the hospital were record and analyzed in detail,and the cost-effect was evaluated in the tow groups.Results There were significant differences in the costs of nurse care,medicine,bed and the total costs,and in the cost-effect between the two groups（P0.05）.Conclusion It was no more hospitalized costs in patients of the acute cerebral infarction with hemiplegia treated by the rehabilitation in the early time compared with the control group,it can save the costs and improve the result.