5种抗菌药物治疗方案治疗社区获得性肺炎的成本-效果分析.pdfVIP

·蔚物经济学· 5 种抗商药物治疗方案治疗社区获得性肺炎的成本一效果分析 胡志林业，彭 喊(新疆石河子大学医学院附属第一医院，石河子市 832008) 中回分类号 R956 文献栋iR 码 C 文章编号 1001-0408(2006)05 … 0351 … 03 捕 事 目的:评价 5 种抗菌药物治疗方案治疗社区获得性肺炎的成本…效泉。方法:采用回顾性研究方法，选择 128 例社区获得 性肺炎患者，按治疗方案分为 5 组，即头抱旅嗣/舒巳坦 (A) 、左旋轧氟沙盈 (B) 、阿 3在西林/克拉维酸苦甲 (C) 、阿奇霉素+头抱他咬 (D) 、头抱西丁 (E) 绍，观察各组疗效并进行成本 效果分析。给采 :5 种治疗方案成本分别为 2137.0 元、 1393.0 元、 1152.5 元、 2 044.2 元、 1827.0 元;有效率分别为 85.2% 、 86.6% 、 80.6% 、 89.6% 、 78.5%; 成本…效采比分别为 25.08 、 16.09 、 14.30 、 22.82 、 23.27; 以 C 组为参照的增量成本币效采比分别为 214.02 、 40.08 、 99.08 、 321.19 0 结论:阿英两林/皂拉维酸匆治疗社区获得性肺 炎优于其它方案。 关键词 社区获得性肺炎;抗菌药物治疗方案;成本…效果分析 Cost - effectiveness Analysis on Five Regimens of Antibacterial Drug Therapy in the Treatment of Com? munity Acquired Pneumonia HU Zhilín, PENG Xí (The First Affilíated Hospital of Xinjiang Shihezi Medical University, Shihezi 832008 , China) ABSTRACT OB]ECTIVE: To evaluate the cost - effectiveness of five regimens of antibacterial drug therapy in the treat? ment of community acquired pn巳 umonia. METHODS: A retrospective study was conducted , in which a total of 128 cases with pneumonia were enrolled and randomly assigned to receive each of the following 5 therapies , cefoperazone sodium / sulbactam sodium( Group A) , levofloxacin( Group B) , amoxicillin / clavulanate potassium( Group C) , azithromycin plus ceftazidime( Group D) ,and cefoxitin( Group E) , the therapeutic effects were monitored and th巴 cost … effectiveness analyses were conducted on the five groups. RESULTS: The costs of the five regimens were 2 137.0 yuan , 1393.0 yuan , 1152.5yuan, 2044.2 yuan and 1 827.0 yuan , respectively; The effective rates were 85.2% , 86.6% , 80.6% , 89.6% and 78.5% , respectively; The cost ~ effectiveness ratios wer巳 25.08 ， 16.09, 14.30, 22.82 and 23.27, respectively; As compared with group