4种给药方案治疗子宫肌瘤的成本—效果分析.pdfVIP

·药物经济学· 4 种给药方秦始疗子合J1JU竭的成本-效果分析 王冬梅 1* ，莫遗盛 l ，黄 颖 1 ，冯 洁 2 ( 1.广西医科大学第三附属医院，南宁 530031; 2. 广西医科大学药学 院，南宁 530021) 中图分类号 R984 文献标识码 B 文章编号 1672 - 2124 (2011 ) 10 - 0923 - 03 摘 要 目的:探讨治疗子宫肌瘤 4 种给药方案的经济学效果。方法:运用药物经济学原理对复方醋政棉扮 (A 纽)、米非司翻 (B 纽)、复方醋酸棉盼+米非司嗣 (C 纽)、桂枝获苓胶囊 (D 纽 )4 种给药方案的成本-效果进行分析。结果 :4 组成本分别是 1 336 、 4∞、 868 、 947 元;有效率分别是 83.3% 、 64.9% 、 9 1. 4% 、 55.6% ;成本-效果比分别是 16. 。、 6.2 ， 9.5 、 17.0;A 、 C 、 D 纽相对于 B 纽约 增量成本，效果比分别是 50.9 、 17.7 、 -58.8 。结论 :C 纽治疗子宫肌瘤最佳。 关键词 子宫肌瘤;药物经济学;成本-效果分析 Cost-effectiveness Analysis of Four Therapeutic Regimens for Hysteromyoma 1 1 1 2 WANG Dong-mei * , MO Yi-sheng , HUANG Ying , FENG Jie ( 1. The Third Affiliated Hospital of Guangxi Medical University , Nanning 530031 , China; 2. School of Pharmaceutical Sciences , Guangxi Medical University , Nanning 530021 , China) ABSTRACT OBJECTIVE: To evaluate the pharmacoeconomic efficacy of four therapeutic regimens for hysteromyoma. METHODS: The principle of pharmacoeconomics was adopted for the cost-effectiveness analysis of 4 therapeutic regimens , i. e. compound gossypol acetate ( A) , mifepristone ( B) , compound gossypol acetate plus mifepristone ( C ) , and Guizhi Fuling capsule ( D). RESULTS: The costs for the four regimens were 1 336 , 4∞， 868 and 947 yuan , respectively , with effective rates of 83.3% , 64.9% , 91. 4% and 55.6% , respectively and cost-effectiveness ratios of 16.0 , 6. 2 , 9.5 and 17.0 , respectively. Compared with regimen B , the incremental cost-effectiveness ratios of regimen A , C and D were 50. 9 , 17.7 and - 58.8 , respectively. CONCLUSION: In terms of cost-effectiveness Regimen C is the optimal one among the four therapeutic regimens for hysteromyoma. KEY WORDS Hysteromyoma; Pharmacoeconomics;