三种方案治疗慢性盆腔炎的成本-效果分析

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。

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

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 metronidarole and dexamethasone for enem (Scheme A);Group B to receive Microwave plus metronidazole and dexamethasone for enem (Scheme B);Group C to receive Ampieillin and metronidazol for intervenous drop infusion (Scheme C).Evaluate the economic efficacy of these three therapeutic schemes by costeffectiveness analysis.Results The costs of these three groups were 400 yuan,365 yuan and 169 yuan respectively.The total effeetive 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 Seheme A manifests significant economic superiority.