烧伤早期康复治疗的成本-效果分析

The cost-effectiveness of early rehabilitation of burns patients

目的通过比较和分析烧伤患者常规治疗和早期康复治疗的疗效及其治疗费用的成本-效果比，探讨烧伤患者早期康复治疗的优势。方法选取164例烧伤患者作为研究对象，按患者临床接受治疗的情况分为治疗组（84例）和对照组（80例），治疗组患者接受常规烧伤治疗和早期康复治疗，对照组患者仅接受常规烧伤治疗。搜集入院时（治疗前）一般病情资料及住院2个月末时（治疗后）的疗效和所产生的直接医疗费用，疗效指标为温哥华瘢痕评定量表（VSS）、焦虑自评量表（SAS）和Barthel指数（BI）评分，并进行成本-效果分析。

Objective To compare the cost-effectiveness of intervention protocols with or without reha- bilitation approaches for burn patients. To explore the pros and cons of the two treatment programs, especially in terms of efficacy. Methods Data on 164 burn patients hospitalized in four hospitals in Hunan Province were collected and compared in terms of the therapeutic interventions employed, the direct medical costs and the effects obtained at the end of the first two months of hospitalization. The patients were divided into an early reha- bilitation therapy group and a control group, based on the interventions they received.