奇正消痛贴膏结合牵引理疗治疗颈型颈椎病的疗效及成本分析.pdfVIP

当代医学 2010年1月第 16卷第3期总第194期 ContemporaryMedicine，Jan．2010，Vo1．16No．3IssueNo．194 奇正消痛贴膏结合牵引理疗治疗颈型颈椎病的疗效及 成本分析 周贤刚 彭华斌 [摘要] 目的 对奇正消痛贴膏结合牵引理疗治疗颈型颈椎病进行疗效和成本分析，与单纯应用牵引理疗进行比较探讨其成本及效果。方法 采用流行病学实验研冤的方法，选择13oI颈型颈椎病患者分别接受奇正消痛贴膏贴敷和牵引理疗(治疗组)与单纯的牵引理疗(对照组)，记录疗效和 所花费的相关费用，计算并比较两组的成本及效果。结果 两组的成本及效果比(c／E)分别为7968和8754，在达到相同的显效率时，治疗组比对 照组节省786元，费用为对照组的91％；以对照组为基准，增量成本效果~L(c／E)为4681，治疗组每增加I％的显效率比对照组多用468元；两组的 成本效果相对于医疗价格稳定。结论 奇正消痛贴膏结合牵引理疗治疗颈型颈椎病在疗效、治疗成本等方面均令人满意，其在临床上推广应用将获 得 良好的成本效果。 (关键词] 颈椎病；颈型；奇正消痛贴青；物理治疗；卫生经济学 A【bstract】ObjectiveTocomparethecost—effectivenessoftwonecktypeofcervicalspondylosistherapyregimens，Qizhengxiaotongplaster combinedwithtractionandphysiotherapyandsingletractionphysiotherapy，inthetreatmentprogram ofnecktypeofcervicalspondylosis．Methods Weconductedacost—effectivenessanalysisbasedon ahospitaltria1．130casesnecktypeofcervicalspondylosispatientswereenrolledtoreceive differentrehabilitationtherapy：QizhengXiaotongplastercombinedwithtractionandphysiotherapy(GroupA)orsingletractionphysiotherapy(Group B)．Effect，medica1expenses，andadversedrugreactionswereobservedandrecordedfor21days，Andthencost—effectivenessratioofthetwogrous andincrementalratiowerecalculated．Weconsidereda30％medica1expensespricefluctuatingl0adtomakethesensitiviytanalys．Results130cases wereenrolledwith 65casesingroupA and65casesingroupB．Thecost—effectivenessratioswere796．8and875．4ofrGroupA andB respectively whiletheincrementalcost—effectivenessofGroupB vsGroupAwas468．1．Theresultswereinsensitivetovariationinthecostsofmedicalexpenses overclinicallyreasonableranges．ConclusionQizhengxiaotongplastercombinedwithtractionandphysiotherapyappearedtoberelativelycost— effectivewhencomparedtosingletractionphysiotherapyofrthetreatmentofnecktypeofcervicalspondylosis． K【eywords]spond5losis；necktype；Qizhengxiaotongplaster；physiotherapy；healtheconomics 颈椎病是骨科 门诊中的常见病、多发病 ，其 中，又以颈 an