急性胰腺炎诊治的成本-效果分析

Analysis of costs and effectiveness in diagnosis and treatment of patients with acute pancreatitis

目的探讨急性胰腺炎诊治的经济效果,促进急性胰腺炎的合理诊治。方法444例急性胰腺炎患者分为A、B两组,两组均进行了抗感染治疗,B组增加了抑制胰液分泌治疗。对两组诊治结果进行成本-效果分析。结果A、B两组的治疗成本分别为4564.74元、5039.19元,有效率分别为81.6%、94.5%,成本-效果比分别为5593元、5330元,A组相对于B组的增量成本-效果比为3530。B组方案为较佳方案。结论急性胰腺炎患者应在住院期间进行合理的抑制胰腺分泌的治疗,这对降低成本-效果比,真正为患者治疗疾病、节约成本是非常有利的。

Objective To make inquiry into the economic effectiveness of treating patients with acute pancreatitis in this hospital and to pronmte the reasonable diagosis and treatment of acute pancreatitis（AP）, Methods 444 patients with AP in this hospital were divided into group A and group B. All patients in these two groups were given anti - infection treatment, and patients in group B were added with inhibiting pancreatic secretion treatment. Resuits The costs of patients in A and B two groups are 4 564. 74 and 5 039.19 yuans respectively, and their efficiency rates are 81.61% and 94.54% respectively. The cost - effectiveness scores in these two groups are 5 593 and 5 330 respectively, and the increment of cost - effectiveness in group A vs to group B is 3 530, The project of group B is a better one. Conclusion The inhibiting pancreatic secretion treatment in patients with acute pancreatitis should be given dm＇ing hospitalization period. It is beneficial to decrease ratio of cost - effectiveness and thus it may save cost.