利用一项随机临床试验的数据对腹股沟疝修补术采用局部、区域和全身麻醉进行成本效益分析。
Cost-effectiveness analysis of local, regional and general anaesthesia for inguinal hernia repair using data from a randomized clinical trial.
作者信息
Nordin P, Zetterström H, Carlsson P, Nilsson E
机构信息
Department of Surgery, Ostersund Hospital, Ostersund, Sweden.
出版信息
Br J Surg. 2007 Apr;94(4):500-5. doi: 10.1002/bjs.5543.
BACKGROUND
Inguinal hernia repair is a common operation in general surgery and can be performed under local, regional or general anaesthesia. This multicentre randomized trial was undertaken to compare the costs of the three anaesthetic methods in general surgical practice.
METHODS
Between January 1999 and December 2001, 616 patients at ten hospitals who underwent primary inguinal hernia repair were randomized to local, regional or general anaesthesia. The primary endpoints were direct costs. Secondary endpoints were indirect costs and recurrence rates.
RESULTS
Total intraoperative, as well as total early postoperative, data showed local anaesthesia to have significant cost advantages over regional and general anaesthesia (P < 0.001). The advantage was also significant for total hospital and total healthcare costs (P < 0.001), whereas there was no significant difference between regional and general anaesthesia.
CONCLUSION
The use of local anaesthesia for inguinal hernia repair was significantly less expensive than regional or general anaesthesia.
背景
腹股沟疝修补术是普通外科的常见手术，可在局部、区域或全身麻醉下进行。本多中心随机试验旨在比较普通外科实践中三种麻醉方法的成本。
方法
1999年1月至2001年12月期间，十家医院的616例接受初次腹股沟疝修补术的患者被随机分配接受局部、区域或全身麻醉。主要终点是直接成本。次要终点是间接成本和复发率。
结果
术中及术后早期的总体数据显示，局部麻醉在成本方面比区域麻醉和全身麻醉具有显著优势（P < 0.001）。在总住院成本和总医疗成本方面，这种优势也很显著（P < 0.001），而区域麻醉和全身麻醉之间没有显著差异。
结论
腹股沟疝修补术使用局部麻醉的成本显著低于区域麻醉或全身麻醉。
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