Abstract
Cost-effectiveness analysis of speech training platform for patients with Broca's aphasia after stroke
  
DOI:
EN KeyWords: Stroke  Speech therapy  Speech training platform  Computer aided technology  Aphasia
Fund Project:福建省卫生计生委青年科研课题(2015-1-86);福建中医药大学校管课题(XB2015032)
作者单位
林茜 1.福建中医药大学附属康复医院福州 3500032.福建省康复技术重点实验室福州 350003 
林秀瑶 福建医科大学附属泉州市第一医院康复医学科福建 泉州 362000 
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EN Abstract:
  Objective:To explore the effects of the speech training platform on the language functions of the Broca's aphasia stroke patients and evaluate its health economics.Method: Sixty patients were randomly divided into the treatment group and the control group. The treatment group was given the speech-training platform-assisted speech therapy, and the control group was subjected to the "one-to-one" artificial-speech rehabilitation training. After 4 weeks of intervention, Chinese Rehabilitation Research Center Chinese Standard Aphasia Examination (CRRCAE) was used to evaluate the patients' language functions, and health economic indicators were applied to analyze the cost-effectiveness in both groups. Results: After treatment for 4 weeks, the scores in listening comprehension, repetition, speaking, reading and calculating were significantly increased as compared with those before treatment in both groups (P<0.05). In the sub items of listening comprehension, repetition, speaking, reading and calculating, the increases in the treatment group were more significant than in the control group (P<0.05). After four weeks of treatment, both groups had no significant difference in the medical expense (P>0.05). The total, direct non-medical and extra expenses in the control group were significantly greater than in the treatment group (P<0.05). Besides, in the sub items of listening comprehension, repetition, speaking, reading and calculating, the cost regarding to the improvement per score in the treatment group was significantly reduced as compared with that in the control group (P<0.01). Conclusions: The use of speech training platform not only can improve the patients' language functions, but also can be more economical, and has the better social and economic benefits.
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