三种方案治疗慢性盆腔炎的成本-效果分析

Cost-effectiveness analysis of three therapeutics schemes for chronic pelvic inflammatory disease

目的探讨暖宫贴配合甲硝唑等方法灌肠治疗慢性盆腔炎的经济效果。方法选取慢性盆腔炎患者204例,随机分为3组,第一组68例采用暖宫贴配合甲硝唑、地塞米松等灌肠治疗(方案A);第二组68例采用微波配合甲硝唑、地塞米松等灌肠治疗(方案B);第三组68例采用氨苄青霉素及甲硝唑静脉滴注(方案C)。运用药物经济学中成本-效果分析并进行评价。结果三组成本分别是400元,365元和169元;有效率分别是81.8%,60%和30.8%;成本-效果比分别是4.89,6.08和5.48;敏感性分析的成本-效果比分别是4.89,6.14和5.10。结论采用暖宫贴配合甲硝唑、地塞米松等灌肠治疗慢性盆腔炎有明显的经济优势。

Objective To evaluate the economic efficacy of three therapeutic schemes for chronic pelvic inflammatory disease.Methods A total of 126 patients with chronic pelvic inflammatory disease were randomly divided into 3 groups：Group A was assigned to receive Nuan-gong-tie combined with metronida-zole and dexamethasone for enem（Scheme A）;Group B to receive Microwave plus metronidazole and dexamethasone for enem（Scheme B）;Group C to receive Ampicillin and metronidazol for intervenous drop infusion （Scheme C）.Evaluate the economic efficacy of these three therapeutic schemes by cost-effectiveness analysis.Results The costs of these three groups were 400 yuan,365 yuan and 169 yuan respectively.The total effective rates of these three groups were 81.8%,60% and 30.8% respectively.And the cost-effectiveness ratios were 4.89,6.08 and 5.48 respectively.Cost-effectiveness ratios by sensitivity analysis of 3 schemes were 4.8,6.84 and 5.10 respectively.Conclusions The Scheme A manifests significant economic superiority.