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Objective To compare the cost-effectiveness of intervention protocols with or without rehabilitation approaches for burn patients.To explore the pros and cons of the two treatment programs,especially in terms of efficacy.Methods Data on 164 burn patients hospitalized in four hospitals in Hunan Province were collected and compared in terms of the therapeutic interventions employed,the direct medical costs and the effects obtained at the end of the first two months of hospitalization.The patients were divided into an early rehabilitation therapy group and a control group,based on the interventions they received.Results The average total direct medical cost of the early rehabilitation group was significantly lower than that of the control group [((￥)59 380.80 ±196.87) versus ((￥)67 471.62 ±217.23)].The average Vancouver scar scale (VSS) results in the early rehabilitation group were significantly better than those of the controls,but their Zung's Self-rating Anxiety Scale and Barthel index scores were not.The average cost-effectiveness ratio (C/E) of the early rehabilitation group as judged by these scores was lower than that of the control group.Conclusion Early rehabilitation can improve the therapy of burns patients and reduce subsequent expenditures.It is a cost-effective approach to treating burns patients.
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OBJECTIVE@#To compare the cost-effect of 2 therapeutic regimens and to find out a better therapeutic regimen with reasonable price and better effect, hoping to improve the quality of burn patients and reduce the waste of medical resources.@*METHODS@#We collected 1017 burn patients from Hunan and Sichuan, and divided them into a research group (the moist exposed burn therapy group) and a control group (the escharectomy and grafting group). We analyzed the cost and effect of the 2 groups from general condition, direct medical cost during treatment and curative effect.@*RESULTS@#The average total cost of the research group [93633.71 (82260.79, 107576.34) yuan] was significantly lower than the control group [175077.93 (131433.23, 228918.83) yuan] (P<0.05). The total effective rate of the research group was higher (97.28%) than that in the control group (92.89%) (P<0.05). The cost-effect of the research group (962.52) was better than that of the control group (1884.79).@*CONCLUSION@#Cost-effect analysis is objective and direct in the evaluation of different treatments. The moist exposed burn therapy is a better and cheaper therapeutic regimen.
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Adolescent , Adult , Female , Humans , Male , Middle Aged , Young Adult , Burns , Economics , General Surgery , Therapeutics , China , Cost-Benefit Analysis , Retrospective StudiesABSTRACT
Objective To comfirm the therapeutic effects of copper needle punctured into cavernous hemangioma to explore a more effective and safer method. Methods After local anesthesia, the copper needles were inserted into the cavernous hemangioma with different depth. The needles must be parallel to major nerves and blood vessels. The distance between the two puctured points was 1 to 2cm. The needles were removed after 7 to 9 days. And the copper needles embolism employing exogenous electric current at 3 or 4 5V for 20 to 30 mins, and inserting the needles with the help of high-frequency color doppler ultrasonography, were also performed in this study. Results Forty-eight patients were treated by this method. The follow-up of 1 to 4 years showed that the general effective rate was 100%. Conclusions It is effective, simple and safe method with less complication that copper needle puncturing for the treatment of cavernous hemangioma. Copper needle with electric current is suitable for treating cavernous hemangioma of the face, neck and joints. It is a safer and more effective method that copper needles puncturing for the therapy of cavernous hemangioma under the guidance of the high-frequncy color doppler ultrasonography.