摘要
目的:系统检索国内关于康复方案治疗缺血性脑卒中的临床经济学评价文献,对其结果进行分析探讨,以期了解国内有关康复方案治疗缺血性脑卒中的临床经济学研究现状。方法:纳入标准:从成本效益、成本效果、成本效用、成本最小化经济评价角度描述康复治疗缺血性脑卒中的试验。研究文献为全文文献,语种限制为中文;研究对象:康复方案治疗缺血性脑卒中的相关经济学研究。干预措施;任何形式的康复疗法对比单纯常规疗法的费用对比,康复疗法辅助其他疗法对比非康复疗法的费用试验均被纳入;测量指标:结果指标从成本效益、成本效果、成本效用、成本最小化4个方面评价,临床疗效从相关疗效指标方面评价;排除标准:重复的临床试验。文献检索包括以下数据库:计算机检索中国知网、中国生物医学文献数据库(CBM数据库)、万方数据库、维普数据库。检索词:成本效益、成本效用、成本效果、成本最小化、经济学评价、康复疗法,试验类型仅限于人类临床试验,同时检索纳入文献的参考文献。检索期限为2000—2010年。结果:根据检索策略,初步检索出38篇文献,通过阅读题目及摘要,以及排除相同临床试验,最后纳入12篇文献。纳入的12篇文献中均进行的成本效果分析1,篇成本效益分析,无成本效用和成本最小化分析。结论:研究表明康复方案治疗缺血性脑卒中对比单一的常规治疗具有较好的临床效果,可以显著改善患者的生活质量,并且具有较好的经济学价值。
Objective：To systematically summarize and assess clinic economics of ischemic stroke on rehabilitation treatment, the analysis of their results in order to gain a better understanding about the treatment of ischemic stroke rehabilitation clinical e-conomics research. Methods ： Inclusion criteria： cost - benefit, cost - effectiveness, cost - utility, cost - minimization describes the economic evaluation of rehabilitation treatment for ischemic stroke trials. Research for the full - text literature,language is limited to Chinese. Research object：rehabilitation in the treatment of ischemic stroke associated with economics. Interventions measure： compared to any form of rehabilitation therapy costs compared to conventional therapy alone, rehabilitation therapies complement other treatments compare the cost of non - rehabilitation therapy trials were included. Measuring index ： outcome assessment from four aspects of the cost - benefit, cost - effectiveness, cost - utility, cost - minimization, clinical evaluation of indicators from the relevant effects. Exclusion criteria：repeated trials. The following databases were researched for relevant published literature：China National Knowledge Infrastructure （CNKI）, the China Biological Medicine Database （CBM database）, Wan Fang Database, and VIP Database up to May 2010. The search terms were as follows：cost benefit ＊ ,cost util ＊ ,cost effectiv ＊ ,cost minimi ＊ ,OR e- conomic analysis OR economic evaluation, AND rehabilitation OR rehabilitation therapy. Test types are limited to human clinical trials, and retrieve references into the literature. The extensive search of the literature from 2000 to 2010. Results ： According to the search strategy,38 articles initially retrieved,by reading the title and summary,and the removal of the same clinical trials ,and fi- nally into the 12 literature. The 12 articles included in the cost- effectiveness analysis were conducted, a cost-benefit analysis, no cost - effectiveness and cost - minimization analysis. Conclusion ： The study shows that rehabilitation programs for the treatment of ischemic stroke compared with single conventional treatment have better clinical results, can significantly improve the quality of life of patients and have good economic value.
出处
《辽宁中医杂志》
CAS
2012年第1期114-117,共4页
Liaoning Journal of Traditional Chinese Medicine
基金
"十一五"国家科技支撑计划重大疑难疾病中医防治研究专项课题(2006BA04A02)
