阿摩線上測驗
47. What was one of the impacts of the combination therapy with SAT and SLT?
(A) Reduced direct and indirect non-medical costs
(B) Reduced self-paid expenses and treatment time
(C) Reduced use of standard treatment interventions
(D) Reduced use of non-standard treatment interventions and medications
答案：登入後查看
統計： A(20), B(26), C(15), D(174), E(0) #3099296
統計： A(20), B(26), C(15), D(174), E(0) #3099296
詳解 (共 2 筆)
Astr
#7293455
The news that one of the Hollywood superstars was diagnosed with aphasia drew everyone’s attention on the causes and effects of such disease.
一位好萊塢巨星被診斷出失語症的消息，讓大家開始關注這種疾病的成因與影響。
According to the medical statistics in the USA, approximately one-third of stroke survivors suffer from impaired communication abilities, and 30%–42% of these patients have longstanding symptoms of aphasia…
根據美國醫學統計，大約三分之一的中風倖存者有溝通能力受損，而其中30%–42%的患者有長期失語症狀……最常見的Broca失語症是由前腦區病變引起，常需長期照護，對家庭與社會造成經濟與心理負擔。
Community medical resources have confirmed that promoting full engagement with rehabilitation treatment for post-stroke patients has reduced the disability rate below 40% and increased activities of daily living by 35%.
社區醫療資源證實，積極推動中風後患者完整參與復健治療，可將失能率降至40%以下，並提升日常生活活動能力35%。
In addition, intensive speech and language therapy (SLT) improves the functional reorganization of the central nervous system; however, high-intensity and high-dose interventions may not be acceptable to all patients.
此外，密集的言語語言治療（SLT）能促進中樞神經系統的功能重組；然而，高強度、高劑量的介入並非所有患者都能接受。
Therefore, other treatments adjunct to SLT might be useful. More specifically, while intensive SLT is effective, recent evidence suggests that scalp acupuncture therapy (SAT) may have beneficial effects on comprehension, oral expression, repetition, denomination, reading and writing in postapoplectic aphasia (Tang, Tang, & Yang, 2019).
因此，其他輔助SLT的治療可能有幫助。更具體來說，雖然密集SLT有效，但近期證據顯示頭皮針灸療法（SAT）對中風後失語症的理解、口語表達、重複、命名、閱讀與書寫有正面效果（Tang et al., 2019）。
One research group from Taiwan (Liu, Huang, Xu, Wu, Tao, & Chen, 2021) tried to appraise the cost-effectiveness of combining SAT with SLT… They found that combination therapy was cost-effective and reduced the use of non-standard treatments and medications, leading to lower direct non-medical costs and self-paid expenses.
台灣一研究團隊（Liu, Huang, Xu, Wu, Tao, & Chen, 2021）評估SAT結合SLT的成本效益……他們發現組合療法具成本效益，並減少非標準治療與藥物使用，從而降低直接非醫療成本與自費支出。
The results of this economic analysis revealed that patients receiving combination therapy reduced their use of non-standard treatment interventions and medications, reflected in reduced direct non-medical costs and self-paid expenses. Combination therapy was less costly than SLT alone…
經濟分析結果顯示，接受組合療法的患者減少使用非標準治療介入與藥物，這反映在直接非醫療成本與自費支出的降低。組合療法比單獨SLT更省錢……
In short, the study… had valuable findings and methodological limitations… While SAT appears to be an effective treatment… the real-world implementation… may be restricted by poor acupuncture services… Standardized education… are needed…
簡言之，這項研究……有寶貴發現但也有方法學限制……雖然SAT看似有效……但在真實世界中，低中收入國家/地區的推廣可能受限於針灸服務不足……需要標準化教育與訓練來提升公眾、社區醫師與政府的認知。
What was one of the impacts of the combination therapy with SAT and SLT?
47. 組合療法（SAT + SLT）的一項影響是什麼？
(A) Reduced direct and indirect non-medical costs 有降低「直接非醫療成本」(direct non-medical costs)，但沒提「間接成本」(indirect costs)
(A) Reduced direct and indirect non-medical costs 有降低「直接非醫療成本」(direct non-medical costs)，但沒提「間接成本」(indirect costs)
(B) Reduced self-paid expenses and treatment time
雖減少自費支出，但沒有數據或文字「治療時間」(treatment time) 縮短
(C) Reduced use of standard treatment interventions
文中是減少「非標準」(non-standard) 治療，而非「標準」(standard) 治療
(D) Reduced use of non-standard treatment interventions and medications
多次提到組合療法影響「reduced the use of non-standard treatments and medications」（減少非標準治療介入與藥物使用）答案 (D)
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