脑卒中常见康复疗法的成本-效果和成本-效用分析

目的 探究脑卒中常见康复疗法的经济性。方法 收集患者基本信息、治疗成本、康复治疗前后MBI值及HUI2量表评分，进行成本-效果和成本-效用分析。结果 比较各组康复治疗前和治疗后的MBI均值，差异有统计学意义（P＜0.05），康复治疗后4组获得的MBI值分别是18.44、12.54、11.32、10.09；4组的成本-效果比是1 556.52、1 655.99、1 925.84、1 385.37；比较各组康复治疗前和治疗后的效用值，差异有统计学意义（P＜0.05），康复治疗前4组效用值分别是0.55、0.52、0.45、0.43，康复治疗后的效用值分别是0.78、0.76、0.71、0.71，4组的成本-效用比是4 842.82、5 231.58、6 176.69、5 307.54。结论 脑卒中患者每获得一个MBI值和一个QALYs，康复治疗费用低于贵州省人均GDP，根据脑卒中患者康复治疗后日常生活能力的恢复和生命质量的改善来看，患者康复治疗的花费是可接受的且认为是值得的。

Cost-effectiveness and cost-utility analysis of common rehabilitation therapies for stroke—taking the tertiary hospitals in Guizhou Province as an example

Abstract: Objective To explore the economics of common rehabilitation therapy for stroke. Methods Basic information of patients, treatment cost, modified Barthel index (MBI) value before and after rehabilitation and health utilities index 2 (HUI2)scale score were collected for cost-effectiveness and cost-utility analysis. Results The mean values of MBI before and after rehabilitation in each group were compared, showing statistically significant differences (P<0.05). The MBI values of the four groups after rehabilitation were 18.44, 12.54, 11.32, and 10.09. The cost -effectiveness ratios of the four groups were 1556.52, 1 655.99, 1 925.84, and 1 385.37. The utility values of each group before and after rehabilitation treatment were compared, and the differences were statistically significant (P<0.05). The utility values of the four groups before rehabilitation were 0.55, 0.52, 0.45, and 0.43, and those after rehabilitation were 0.78, 0.76, 0.71, and 0.71, respectively. The cost-utility ratios of the four groups were 4 842.82, 5 231.58, 6 176.69, and 5 307.54. Conclusion For every MBI value and QALYs acquired by stroke patients, the cost of rehabilitation treatment is less than per capita GDP of Guizhou Province. According to the recovery of the ability of daily living and the improvement of quality of life of stroke patients after rehabilitation, the cost of rehabilitation treatment is within the acceptable range and considered worthwhile.