我院2型糖尿病患者平均住院日及人均医疗费用支出的比较.docVIP

精品论文 参考文献 我院2型糖尿病患者平均住院日及人均医疗费用支出的比较 崔明迪 　　（山东省莱芜市人民医院 山东莱芜 271100） 　　【摘要】目的：运用我院财务分析的方法评价2型糖尿病患者平均住院日及人均医疗费用支出进行比较，为2型糖尿病患者选择疗效好且费用低的治疗方案提供依据。方法：采用回顾性分析法，选取80例病人，以血糖值为健康效果测量指标，运用成本效果分析方法评价口服降糖药三种给药方案(A组：格列吡嗪十二甲双胍缓释片；B组：格列吡嗪+阿卡波糖；C组：格列吡嗪+罗格列酮)治疗Ⅱ型搪尿病的药物经济学效果．并进行敏感性分析。结果：3种方案的有效率分别为83.3%、86.7％、96.7％，C方案疗效要优于A、B方案。使平均血糖下降一个百分点，三方案费用分别为15.29元、27.29元、34.14元。结论：3种治疗方案都能将血糖控制在理想范围，从药物经学的角度分析，格列吡嗪十二甲双胍方案为佳；格列吡嗪+罗格列酮疗效最好，但成本效果比最高。 　　【关键词】2型糖尿病；成本效果分析；费用对比 　　【中图分类号】R197.3 【文献标识码】A 【文章编号】1007-8231（2015）20-0023-02 　　【Abstract】Objective To evaluate the method of financial analysis of our hospital patients with type 2 diabetes mellitus average hospitalization days and medical expense per capita spending compared to provide the basis for patients with type 2 diabetes treatment has good effect and low cost. Methods By retrospective analysis, we selected 80 cases of patients, the blood glucose value as the measurement index of health effect of applying the evaluation method of oral hypoglycemic agents of three regimens of cost-effectiveness analysis (A group: Twelve metformin glipizide sustained-release tablets; group B: glipizide + acarbose; group C: glipizide + rosiglitazone) effect of pharmacoeconomics treatment diabetes and sensitivity analysis. Results 3 Schemes of the effective rate were 83.3%, 86.7%, 96.7%.C regimen is better than A and B. The average blood glucose decreased by one percentage point, the three program costs were 15.29 yuan, 27.29 yuan, 34.14 yuan. Conclusion 3 The therapeutic schemes were able to control the blood glucose in the ideal range, from the point of view of the drug by the analysis, the treatment of the twelve a double regimen of metformin hydrochloride is better than the best. 　　【Key words】Type 2 diabetes mellitus; Cost effectiveness analysis; Cost comparison 　　糖尿病是世界范围最常见的流行病之一，已经成为继心血管肿瘤之后的第三大严重威胁人类健康的非传染病。我国已经成为仅次于印度的糖尿病第二大国，患者将近4000万人。人口老龄化和居民生活方式的改变使得我国的糖尿病患病率呈现明显的上升趋势[1]。糖尿病的病程长，治疗费用昂贵，不仅影响了患者的生活和生命质量．也