关键词: 脑性瘫痪, 康复, 成本-效果分析, 运动功能

Abstract: Objective To analyze the cost-effectiveness of hospital rehabilitation and hospital-family rehabilitation in children with cerebral palsy.Methods From January to December, 2016, 60 cases of children aged one to three years with cerebral palsy were divided into hospital rehabilitation group and hospital-family rehabilitation group, with 30 cases in each group. The hospital rehabilitation group received rehabilitation of traditional Chinese and Western medicine treatment, including exercise therapy, physical therapy and Chinese Medical therapy; while the hospital-family rehabilitation group received family rehabilitation. The Gross Motor Function Measure (GMFM) and Peabody Developmental Motor Scale-fine Motor (PDMS-FM) were used to evaluate the motor function and fine motor function before and after treatment.Results The GMFM score was higher (t=5.333, P<0.001), and the total medical cost was higher (t=23.614, P<0.001) in the hospital rehabilitation group than in the hospital-family rehabilitation group. However, the cost of medical care was significantly lower for every 1-point increase in GMFM and visual-motion integration of PDMS-FM in the hospital rehabilitation group than in the hospital-family rehabilitation group (t>2.065, P<0.05).Conclusion The hospital rehabilitation model may be a more economical and effective treatment for younger age children with cerebral palsy, and the hospital-family rehabilitation model could be used as an effective complementary rehabilitation model for this age group.

Key words: cerebral palsy, rehabilitation, cost-effectiveness analysis, motor function