【摘要】：目的對(duì)腦癱患兒醫(yī)院康復(fù)與醫(yī)院-家庭康復(fù)模式進(jìn)行成本-效果分析。方法 2016年1月至12月,將本院60例1~3歲的腦癱患兒分為醫(yī)院康復(fù)組和醫(yī)院-家庭康復(fù)組,每組各30例。醫(yī)院康復(fù)組給予本科規(guī)范的中西醫(yī)結(jié)合康復(fù)治療(運(yùn)動(dòng)療法、物理因子療法和中醫(yī)綜合療法),醫(yī)院-家庭康復(fù)組由醫(yī)院提供專(zhuān)業(yè)技術(shù)培訓(xùn)、指導(dǎo)和對(duì)患兒進(jìn)行專(zhuān)業(yè)評(píng)估,家長(zhǎng)實(shí)際操作。分別于治療前、治療結(jié)束時(shí)采用粗大運(yùn)動(dòng)功能測(cè)試(GMFM)和Peabody精細(xì)運(yùn)動(dòng)發(fā)育量表(PDMS-FM)評(píng)價(jià)患兒粗大運(yùn)動(dòng)功能和精細(xì)運(yùn)動(dòng)功能。結(jié)果治療結(jié)束時(shí),與醫(yī)院-家庭康復(fù)組比較,醫(yī)院康復(fù)組GMFM評(píng)分顯著改善(t=5.333,P0.001),總醫(yī)療成本顯著增高(t=23.614,P0.001),但GMFM和PDMS-FM視覺(jué)-運(yùn)動(dòng)整合評(píng)分每增加1分所支出的醫(yī)療費(fèi)用降低(t2.065,P0.05)。結(jié)論醫(yī)院康復(fù)模式對(duì)小年齡腦癱兒童可能是更為經(jīng)濟(jì)、有效的治療方案,醫(yī)院-家庭康復(fù)模式可以作為此年齡段的有效補(bǔ)充康復(fù)模式。
[Abstract]:Objective to analyze the cost-effect of hospital rehabilitation and hospital-family rehabilitation for children with cerebral palsy. Methods from January to December 2016, 60 children with cerebral palsy aged from 1 to 3 years old in our hospital were divided into hospital rehabilitation group and hospital-family rehabilitation group with 30 cases in each group. The hospital rehabilitation group is given undergraduate standard rehabilitation therapy of integrated traditional Chinese and western medicine (exercise therapy, physical factor therapy and TCM comprehensive therapy). The hospital family rehabilitation group provides professional technical training, instructs and carries out professional evaluation of the children. Parents actually operate. Gross motor function and fine motor function were evaluated by (GMFM) and Peabody fine motor development scale (PDMS-FM) before and after treatment. Results at the end of the treatment, compared with the hospital family rehabilitation group, the GMFM score and the total medical cost of the hospital rehabilitation group were significantly improved (t = 5.333, P 0.001) and the total medical cost was significantly higher (t = 23.614, P 0.001). However, the medical expenses of GMFM and PDMS-FM for each additional score were lower (t 2.065 P 0.05). Conclusion Hospital rehabilitation model may be a more economical and effective treatment for young children with cerebral palsy. Hospital-family rehabilitation model can be used as an effective supplementary rehabilitation model for this age group.
【作者單位】： 廣州中醫(yī)藥大學(xué)附屬南海婦產(chǎn)兒童醫(yī)院兒童神經(jīng)康復(fù)科;
【基金】：佛山市醫(yī)學(xué)類(lèi)科技攻關(guān)項(xiàng)目(No.2015AB000682) 佛山市南海區(qū)社會(huì)建設(shè)創(chuàng)新獎(jiǎng)勵(lì)專(zhuān)項(xiàng)資金項(xiàng)目
【分類(lèi)號(hào)】：R742.3

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