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格列美脲联合二甲双胍治疗2型糖尿病的成本效果评价
引用本文:韩隆元. 格列美脲联合二甲双胍治疗2型糖尿病的成本效果评价[J]. 中国热带医学, 2011, 11(5): 611-612
作者姓名:韩隆元
作者单位:海南省农垦总医院内分泌科,海南,海口,570311
摘    要:
目的对比格列美脲联合二甲双胍与单用格列美脲治疗新诊断2型糖尿病的成本效果。方法新诊断2型糖尿病患者115例,将患者按就诊时间的先后次序分成2组,即联合治疗组(A组)55例、格列美脲治疗组(B组)60例。A组格列美脲联合二甲双胍,格列美脲起始剂量2mg,1次/d,早餐服用,二甲双胍0.25g,3次/d,三餐前服用;B组单用格列美脲,起始剂量2mg,1次/d,早餐服用。总疗程为8周。观察治疗前后患者空腹血糖、餐后2h血糖、糖化血红蛋白、血脂、肾功、体重指数,同时观察低血糖及其他不良反应发生情况。结果 A、B两组的总有效率及不良反应发生率的比较经卡方检验差异无统计学意义。分别以FPG和2hPG为诊断依据计算治疗8周后A、B两组的成本-效果比(C/E)为:2.91/2.91和5.91/5.48。结论单用格列美脲治疗2型糖尿病与联合治疗方案疗效相当,而联合治疗方案治疗2型糖尿病的成本要低于单用格列美脲。

关 键 词:2型糖尿病  格列美脲  二甲双胍  成本效果

Cost-effectiveness analysis of type 2 diabetes treated by amaryl combined with metformin
HAN Long-yuan. Cost-effectiveness analysis of type 2 diabetes treated by amaryl combined with metformin[J]. China Tropical Medicine, 2011, 11(5): 611-612
Authors:HAN Long-yuan
Affiliation:HAN Long-yuan.(Hainan Nongken General Hospital,Haikou 570311,Hainan,P.R.China)
Abstract:
Aim To analyze the cost-effectiveness of amaryl combined with metformin in treatment of type 2 diabetes treated. Methods There 115 type 2 diabetic patients were divided into combination group(group A consisted of 55 cases)and amaryl group(group B consisted of 60 cases).The patients in group A were given amaryl(2mg/time/day)combined with metformin(0.25g,3times/day)and those in group B were treated with amaryl(2mg/times /day)only,all for a course of 8 weeks.The FPG,2hPG,HbA1c,blood fat,renal function,BMI,and ...
Keywords:Type 2 Diabetes  Amaryl  Metformin  Cost-effectiveness  
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