摘要
目的：探讨神经康复治疗对脑卒中患者平均住院费用及住院时间的影响。方法：将１１４例病人随机分为神经康复组和对照组。神经康复组５６例，包括早期康复组３０例和延迟组２６例（发病时间小于２周者为早期康复组，超过２周者为延迟康复组）；对照组共计５８例。神经康复患者由专人进行运动功能训练，以Ｂｏｂａｔｈ疗法为主，所得数据作方差分析，均数两两比较作 ｔ检验。结果：平均住院费用神经康复组为９５． ９９± １９． ２３百元，其中早期康复组为８１． ８２± １８． ０１百元，对照组为１２７ ５０±２１． ３５百元；平均住院时间神经康复组为２８． ４６± ６． ２６ ｄ，其中早期康复组为２６． ８０± ４ ．７５ ｄ，对照组为３８． ２４± ６． １３ ｄ。各组平均住院费用相比Ｆ＝４．７８（Ｐ＜０ ．０１），各组平均住院时间Ｆ＝１１． １０（Ｐ＜０．０１）；神经康复组、早期康复组和对照组两两相比，平均住院费用和住院时间均有显著差异（Ｐ＜０．０１）。结论：神经康复治疗尤其早期神经康复治疗确能降低脑卒中患者住院费用及缩短住院时间。
Objective: To study the effects of neurorehabilitation on hospital costs and length of stay in patients with stroke. Methods: All 114 patients were randomly divided into the following subgroups: rehabilitation group (early rehabilitation group and relayed rehabilitation group) and control group. The averaged hospital costs and length of stay were calculated after collecting the data. F test and t test were used as statistic methods. Results: The averaged hospital costs of control group was 127. 50 ± 21. 35 hundred yuan RMB, rehabilitation group was 95. 99 ± 19. 23 hundred yuan RMB and early rehabilitation group was 81. 82 ± 18. 01 hundred yuan RMB. The averaged length of stay for control group was 38. 24 ± 6. 13d, rehabilitation group 28. 46 ± 6. 26d and early rehabilitation group 26. 80 ± 4. 75d. There were significantly statistical differences among different subgroups (P< 0. 01 ). Compared with control group, averaged hospital costs and length of stay for rehabilitation group and early rehabilitation group were significantly decreased (P < 0. 01 ). Conclusion: It suggests that rehabilitation therapy, especially early rehabilitation can reduce hospital costs and length of stay in patients with acute stroke.
出处
《中国临床医学》
2000年第3期276-277,共2页
Chinese Journal of Clinical Medicine
关键词
脑卒中
神经康复
早期康复
住院费用
住院时间
Stroke Neurorehabilitation Early rehabilitation Hospital costs Length of stay
