小儿肺炎__(期刊论文)

三种方案治疗小儿肺炎的药物经济学研究

http://www.100md.com 《广东药学院学报》 2003年第1期

小儿肺炎,,小儿肺炎；药物经济学；费用效果分析；决策树分析,1材料与方法,2结果,3讨论

     摘要目的：比较三种方案治疗小儿细菌性肺炎的效率(即费用—效果)。方法：2001年~2002年采用前瞻性随机临床试验A组50例、B组50例、C组50例作为分析模型，以深圳市二级甲等医院收费为标准，采用决策树的分析方法，进行费用—效果分析。结果：每治疗1例有效病人，A、B、C三组方案的期望成本分别为4707.45元、4144.53元、3052.51元。结论：同时考虑临床疗效及医疗费用，C组有最好的费用—效果，值得临床推广应用。

    关键词小儿肺炎；药物经济学；费用效果分析；决策树分析

    Study on pharmacoeconomics of three therapeutic regimes for infant pneumonia

    ZHANG Yongen1,YE Weidong2,XIANG Xuming3,ZHENG Ping2

    (Buji Peoples Hospital,1.Department of Pharmacy;2.Department of Pediatrics,Shen zhen 518112;3.Department of Pharmacy,Shen zhen Commission of Health,Shenzhen 518020)

    Abstract Objective: To assess the efficiency of three therapeutic regimes for infant pneumonia. Methods: Cost-effect analysis and decisiontree analysis were based on a randomized controlled trial in infants with pneumonia in II A grade hospitals in Shenzhen in 2001~2002. Patients were divided into three groups, each of 50 cases. Results: For the three therapeutic regimes the anticipant costs of curing one case of infant pneumonia were 4707.45 yuan( group A),4144.53 yuan( group B) and 3052.51 yuan( group C) respectively. Conclusion: Considering the effectiveness and the costs,regime C is the best one. ......

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