中国研究型医院2024,Vol.11Issue(6) :57-66.DOI:10.19450/j.cnki.jcrh.2024.06.008

布比卡因脂质体用于局部浸润与肌间沟臂丛神经阻滞对比连续神经阻滞在术后镇痛中的经济学评价

Economic evaluation of bupivacaine liposomes for local infiltration and brachial plexus nerve block in the interosseous groove versus continuous nerve block in postoperative analgesia

都佳蕴 李浩楠 肖若薇 李鑫垚 李薇 金银银 林毅峰 韩晟
中国研究型医院2024,Vol.11Issue(6) :57-66.DOI:10.19450/j.cnki.jcrh.2024.06.008

布比卡因脂质体用于局部浸润与肌间沟臂丛神经阻滞对比连续神经阻滞在术后镇痛中的经济学评价

Economic evaluation of bupivacaine liposomes for local infiltration and brachial plexus nerve block in the interosseous groove versus continuous nerve block in postoperative analgesia

都佳蕴 1李浩楠 1肖若薇 1李鑫垚 1李薇 1金银银 2林毅峰 2韩晟1
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作者信息

  • 1. 北京大学医药管理国际研究中心,北京 100191;北京大学药学院,北京 100191
  • 2. 江苏恒瑞医药股份有限公司,连云港 222000
  • 折叠

摘要

目的 基于中国医疗卫生体系角度,评估布比卡因脂质体注射液用于局部浸润、肌间沟臂丛神经阻滞术后镇痛相比于连续神经阻滞方案的经济性.方法 检索中国知网、PubMed、Embase数据库(各数据库建库—2023年6月1日),以布比卡因脂质体注射液为试验组,连续神经阻滞为对照组的随机对照试验、前瞻性研究或回顾性研究.开展成本分析,比较布比卡因脂质体注射液用于术后镇痛对比连续神经阻滞方案的经济性.结果 基础分析结果显示,布比卡因脂质体注射液用于局部浸润或肌间沟臂丛神经阻滞进行术后镇痛,相较于连续神经阻滞方案可分别节省总费用1030.91元和1238.60元.概率敏感性分析结果显示,布比卡因脂质体注射液具有经济性的概率分别为97.8%和100.0%.结论 布比卡因脂质体注射液用于局部浸润或肌间沟臂丛神经阻滞术后镇痛,相比于连续神经阻滞方案更具经济性.

Abstract

Objective To evaluate the economics of bupivacaine liposome injection for postoperative analgesia after local infiltration,interosseous groove brachial plexus nerve block compared with continuous nerve block protocols based on the perspective of the Chinese healthcare system. Methods CKNI,PubMed,and Embase databases were searched (each database build to 1 June 2023) for randomised controlled trials,prospective studies,or retrospective studies in which bupivacaine liposome injection was used as the intervention group and continuous nerve block as the control group. A cost analysis was then conducted to compare the economics of bupivacaine liposome injection versus continuous nerve block for postoperative analgesia. Results The results of the baseline analysis showed that bupivacaine liposome injection used for local infiltration or interosseous groove brachial plexus nerve block for postoperative analgesia could save the total cost of 1030.91 yuan and 1238.60 yuan,respectively,compared with the continuous nerve block protocol. The results of the probabilistic sensitivity analysis showed that the probability of bupivacaine liposome injection being economical was 97.8% and 100.0%,respectively. Conclusion The cost analysis showed that bupivacaine liposome injection for local infiltration and interosseous sulcus brachial plexus nerve block was more economical than continuous nerve block for postoperative analgesia.

关键词

经济学,药学/麻醉和镇痛/神经传导阻滞/布比卡因/综述

Key words

Economics,pharmaceutical/Anesthesia and analgesia/Nerve block/Bupivacaine/Review

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出版年

2024
中国研究型医院

中国研究型医院

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