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3种用药方案治疗幽门螺杆菌感染的成本-效果分析 被引量:2

Cost-Effectiveness Analysis of 3 Drug Regimes for Infection of Helicobacter Pylori
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摘要 目的:评价3种用药方案治疗幽门螺杆菌感染的成本-效果。方法:将150例幽门螺杆菌阳性的消化性溃疡患者随机分为3组,每组50例,分别服用兰索拉唑+克拉霉素+阿莫西林(A组)、雷贝拉唑+阿莫西林+甲硝唑(B组)、奥美拉唑+克拉霉素+阿莫西林(C组),疗程均为7d,比较临床疗效并进行成本-效果分析。结果:A、B、C3组成本分别为120.19、62.02、120.75元,幽门螺杆菌感染根除率分别为82%、92%、80%,成本-效果比分别为146.57、67.41、150.94;A、C组方案相对于B组方案的增量成本-效果比分别为523.50,440.50。结论:与其他2组方案比较,B组方案为治疗幽门螺杆菌感染的较佳方案。 OBJECTIVE: To evaluate the cost-effectiveness of three drug regimes for infection of Helicobacter Pylori (Hp). METHODS: 150 patients with peptic ulcer infected by positive Hp were randomly assigned to three groups. They were treated with Lansoprazole, Clarithromycin and amoxicillin (group A, n=50), Rabeprazole, amoxicillin and metronidazole (group B, n=50) or omeprazole, Clarithomycin and amoxicillin (group C, n=50), respectively with course of treatment as 7 days. The observation of clinical efficacy and analysis of cost-effectiveness were conducted. RESULTS: In group A, B, C, the costs were 120.19, 62.02, 120.75 yuan; the eradication of Hp was 82%, 92%, 80%; ratio of cost-effectiveness was 146.57, 67.41, 150.94, respectively; incremental costs were 523.50,440.50. CONCLUSION: The regime for Hp in group B is the best one among 3 groups.
作者 刘家宝
机构地区 天津南开医院
出处 《中国药房》 CAS CSCD 北大核心 2010年第8期758-759,共2页 China Pharmacy
关键词 质子泵抑制剂 用药方案 幽门螺杆菌 成本-效果分析 Proton pump inhibitor Drug regime Helicobacter Pylori Cost-effectiveness analysis
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