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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 search out the domestic literatures about clinical economic evaluation of rehabilitation programs in the treatment of ischemic stroke and to analyze the results in order to understand the status quo of clinical economics in China for rehabilitation programs in the treatment of ischemic stroke. METHODS: Inclusion criteria: A trial describing rehabilitation of ischemic stroke from the perspective of cost-effectiveness, cost effectiveness, cost effectiveness, and cost minimization. Research literature for the full text of the literature, language restrictions for the Chinese; subjects: Rehabilitation programs for the treatment of ischemic stroke related economics. Interventions; Any form of rehabilitation compared to the cost of conventional therapy alone, rehabilitation therapy to assist other therapies compared to cost-effective non-rehabilitation therapy are included; Measurement indicators: Outcome indicators from the cost-effectiveness, cost effectiveness, cost effectiveness, cost minimization 4 aspects of evaluation, the clinical efficacy evaluation from the relevant indicators of efficacy; Exclusion criteria: repeated clinical trials. The literature search includes the following databases: computer search CNKI, China Biomedical Literature Database (CBM database), Wanfang database, VIP database. Search terms: cost-effective, cost-effective, cost-effective, cost minimization, economic evaluation, rehabilitation therapy, type of trial limited to human clinical trials, and retrieved references included in the literature. The search period is 2000-2010. Results: According to the retrieval strategy, 38 articles were initially retrieved, and 12 articles were finally included by reading the title and abstracts and excluding the same clinical trials. Cost analysis included in 12 articles included in the analysis 1, cost-benefit analysis, cost-effectiveness and cost minimization analysis. CONCLUSIONS: The study shows that rehabilitation programs have a better clinical outcome in treating ischemic stroke than single conventional treatment, which can significantly improve patients’ quality of life and have good economic value.