《中国康复理论与实践》

《中国康复理论与实践》 ›› 2010, Vol. 16 ›› Issue (7): 645-647.

• 论文 • 上一篇    下一篇

卒中单元配合针刺对脑卒中治疗的成本-效果研究

江浩清，江文婷，杨晓蓓   

  1. 福建医科大学附属漳州市医院康复科,福建漳州市 363000。
  • 收稿日期:2010-02-25 修回日期:1900-01-01 出版日期:2010-07-25 发布日期:2010-07-25

Application of Acupuncture in Stroke Unit: An Effect and Cost-effectiveness Analysis

JIANG Hao-qing, JIANG Wen-ting, YANG Xiao-pei.   

  1. Zhangzhou Affiliated Hospital of Fujian Medical University, Zhangzhou 363000, Fujian, China
  • Received:2010-02-25 Revised:1900-01-01 Published:2010-07-25 Online:2010-07-25

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被引次数

10

摘要： 目的观察将针刺法应用于卒中单元对脑卒中患者神经功能和日常生活能力的影响,并进行成本-效果评价。方法以针刺结合卒中单元为治疗组（30例），单纯卒中单元为对照组（30例）。采用美国国立卫生院卒中评分(NIHSS)、Barthel指数（BI）及住院费用进行评定。结果治疗组和对照组治疗后15 d和30 d NIHSS及BI评分有显著性差异（P<0.05）；治疗组各项评测量表每改善1分所增加的费用较对照组低（P<0.05）。结论卒中单元中应用针刺是脑卒中患者经济有效的治疗方案，值得临床推广。

关键词: 脑卒中, 针刺疗法, 康复, 卒中单元, 成本-效果分析

Abstract: ObjectiveTo observe the effects of acupuncture on stroke in stroke unit, and its cost-effectiveness. Methods60 patients were divided into control group (n=30) and treatment group (n=30). All the patients were treated with structural therapy known as stroke unit, and the treatment group accepted acupuncture in addition. They were assessed with National Institutes of Health Stroke scale (NIHSS) and Barthel Index (BI) before, 15 d and 30 d after treatment. Their expenses for hospital were investigated. ResultsThe scores of NIHSS and BI improved in the treatment group compared with those in control group (P<0.05) 15 d and 30 d after treatment. The average cost for a score improved in both NIHSS and BI was less in the treatment group than in the control group (P<0.05). ConclusionThe acupuncture applied in stroke unit is effective and economical for stroke patients.

Key words: stroke, acupuncture, rehabilitation, stroke unit, cost-effectiveness analysis