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反向临床试验
引用本文:王曙炎,秦定一,杨波,赵国龙. 反向临床试验[J]. 数理医药学杂志, 2006, 19(1): 10-13
作者姓名:王曙炎  秦定一  杨波  赵国龙
作者单位:河南省医学科学研究所,郑州,450052;河南省医学科学研究所,郑州,450052;河南省医学科学研究所,郑州,450052;河南省医学科学研究所,郑州,450052
摘    要:目的:提出反向临床试验的基本原理和方法。方法:指定试药和所要治疗的疾病。按治疗效果将病人划分为成功组与可比的失败组,就试药服用比例在两组间进行比较。亦可选取成功病例,找出可比的失败病例,就曾否服用试药进行配对比较。结果:若成功组试药服用比例高于失败组并具有统计学意义,则有利于接受试药。结论:其操作方向与传统临床试验相反,两者为互补关系,结果相互印证。因此,反向临床试验可作为药物临床评价的方法之一。

关 键 词:临床试验  药物  样本量  统计学检验  疗效
文章编号:1004-4337(2006)01-0010-04
收稿时间:2005-04-25
修稿时间:2005-04-25

The Backward Clinical Trial
Wang Shuyan, et al. The Backward Clinical Trial[J]. Journal of Mathematical Medicine, 2006, 19(1): 10-13
Authors:Wang Shuyan   et al
Affiliation:Henan Institute of Medical Sciences Zhengzhou , Zhengzhou 450052
Abstract:Objective: This paper proposes the basic principles and methods of backward clinical trial.Methods: A tested drug and a treated disease are prescribed.Patients are divided into a winning group and a comparable losing one on the basis of therapeutic efficacy.The proportions of receiving the drug in the two groups are compared.Alternatively,the matched pairs are obtained by means of taking a winner and finding a comparable loser.The comparisons are aimed at whether the drug is received within the pairs.Results: It will be favring to accept the drug if the proportion in the winning group is higher than that in the losing one and the difference is statistically significant.Conclusion: Its operating orientation is reverse to that of the traditional clinical trial.They are complementary and can be mutually reconfirmed in results.The backward clinical trial can be a method for the clinical evaluation of drugs.
Keywords:clinical trial  drug  sample size  statistical test  therapeutic efficacy
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