摘要
目的:运用成本-效果法分析急诊胃镜在上消化道出血中的治疗价值。方法:急性上消化道出血患者共40例,分别采用镜下治疗及药物治疗,并进行成本-效果分析。结果:镜下治疗及药物治疗上消化道出血的有效率均为100%;两组病人的住院天数分别为6.7d和11.8d(P<0.05);住院的总费用分别为3124.5元和5226.8元(P<0.05);成本-效果分析显示急诊胃镜治疗优于药物治疗。结论:针对上消化道出血的治疗,应首先考虑应用成本-效果比低的镜下治疗。
Objective： To evaluate the cost and effectiveness of endoscope in the treatment of acute hemorrhage of upper digestive tract. Methods： 40 patients with hemorrhage of upper digestive tract were treated by different methods： endoscope and drugs. Evaluation was carried out with pharmaco economic cost-effectiveness analysis. Results： The hemostatic rate of acute endoscope and drugs for acute hemorrhage of upper digestive tract were 100%.The total days in the hospital was 6.7 days and 11.8 days respectively （Both P 〈 0.05）. The costs of endoscope and drugs were RMB 3124.5 and 5226.8 yuan （Both P 〈 0.05）. The former methods is prior to the latter with pharmaco economic costeffectiveness analysis. Conclusion： According to the evaluation with the cost and effectiveness analysis, the endoscope should be the method for treating hemorrhage of upper digestive tract.
出处
《岭南急诊医学杂志》
2006年第4期267-268,共2页
Lingnan Journal of Emergency Medicine
基金
佛山市卫生局医学科研立项(项目编号:2005337)
关键词
上消化道出血
胃镜
成本-效果分析
hemorrhage of upper digestive tract
endoscope
cost- effectiveness analysis
