剖宫产术后不同抗菌药物预防用药方案的成本-效果分析.pdfVIP

·药物经济学· 剖舍产术后不同抗首药始预防用药方素的成i 本…效果分析 欧定宏*，书潮洲，黄婉群(广州市妇婴医院药割科，广州市 510180) 中图分!I!号 R956 文献标识码 C 文章编号 1001… 0408(2006)07-0切8-02 摘要 目的·评价 4 种抗菌药物用药方隶预防和l 宫产术后感染的成本效果。方法:对我院 1066 例产科剖宫产水后成用 A( 头 抱味翻纳/舒巳 jJl.纳+甲硝哦)、 B( 氨带雨林钩/舒巳淑纳+甲硝唆)、 C( 我拖拉皮+甲柑吱)、 D( 持抱娘嗣纳/舒巳粮价 )4 种幸章预 防感染，进行阳回顾性成本 放果分析 q 结果 :4 种才盘成本分别为 4954.13 、 4752.77 、 3870.16 、 3988.22 元;有放串分别为 98.5% 、 日7ι% 、 84.6% 、 96.8%; 成本 效果比分别为 50.30 、 54.38 ??? 45.75 、 4 1. 20;A 、日、 D 方盘相对于 C 方靠的增量成本…妓革比分别舟 77.98 、 315.22 、 9.680 结论 :D 才幸预防剖宫产半后感染较为经济、合理口 关键诩剖宫产乎求:预防感染:抗简药物，咸丰效果分析 Post - operative Preventive Medication of Antibacterials for Patients witb Uterine - incision Delivery: Cost - effectiveness Analysis OU Dinghon苦， WEI Xiangzhou , HUANG Wanqun (Dept. of Phannacy , Guangzhou Municipal Women and Childrcn s Hospital. Guangr. hou 510180, China) ABSTRAι;T O IlJEC 丁 IVE: To comparc thcι:O (i l - effectíveness of 4 削ltibacterials ?n the prcvention of post 叩 operatlve m fection in patiems with uterine - incision deliv?ry(UID) .METHODS: A total of 1 066 cases with UIn were ascribed to receíve cefoperazone sodiuml sulbactam sodium + arilin (therapy A) , ampicì l1 in 回 dium/ sulbactam 即d?utn + arílín( 则， cefradine + ar? ilin(C) and cefop盯awne sodium/ 阳 lbactam sodium(D). respectively for the prevention of infection. The cost ~ effectiveness of the 4 groups was analyzcd ,rctrospectively. RESULTS: The costs of the 4 schemes were 4 954.13 yuan, 4752 、 77 yuan , 3870.16 yuan and 3988.22 yuan , respcctivelYi The effectìve rates were 98.5% , 87 .4~品， 84.6% and 96.8% , re,pectively; The cost effectiveness ratios were 50.30 , 54.3电， 45.75 and 41.20 , respectively; The incrementnl c o.v. t 而 effectiveness ratios of scheme A, Il aocl D were 77.98. 315.22 and 9‘ 68 , respe