Ankjaer-Jensen A, Manniche C, Nielsen H
Dansk Sygehus Institut, København.
Ugeskr Laeger. 1994 Jan 31;156(5):647-52.
A new postoperative rehabilitation program consisting of intensive back training without low back pain being the limiting factor has been tested in a clinical trial and found effective compared to a more traditional training program. The objective of the present investigation was to evaluate the social economic consequences (cost-effectiveness analysis) of the introduction of this new program as a general offer for all patients undergoing first time discectomy for a herniated lumbar intervertebral disc in Denmark. Ninety-six consecutive patients operated on at the Dept. of Neurosurgery. Copenhagen County Hospital of Glostrup were randomized into two intervention groups. One group was offered intensive back training and the other group was offered traditional back training. A historical control group was also selected. The effectiveness of the training programmes was evaluated by a "Low Back Pain Rating Scale" and by the number of patients out of employment one year after operation. The social economic evaluation showed that the new intensive training programme was more effective. Savings in medical expenditure are to be expected if the new programme is offered. Further, as more people are to be expected to keep their employment, a production gain for the society can be expected as well as reduced public expenditures on social benefits.
一种新的术后康复计划，包括在无下腰痛作为限制因素的情况下进行强化背部训练，已在一项临床试验中进行了测试，结果发现与更传统的训练计划相比，该计划是有效的。本研究的目的是评估将这一新计划作为丹麦所有首次因腰椎间盘突出症接受椎间盘切除术患者的常规治疗方案所带来的社会经济后果（成本效益分析）。哥本哈根郡格洛斯楚普医院神经外科连续收治的96例手术患者被随机分为两个干预组。一组接受强化背部训练，另一组接受传统背部训练。还选择了一个历史对照组。通过“下腰痛评分量表”和术后一年失业患者数量来评估训练计划的有效性。社会经济评估表明，新的强化训练计划更有效。如果提供新计划，预计可节省医疗支出。此外，由于预计会有更多人保住工作，因此社会可实现生产收益，同时减少社会福利方面的公共支出。
