3种方案治疗社区获得性肺炎的决策树分析

目的:评价3种方案治疗社区获得性肺炎的经济学效果。方法:运用药物经济学决策树分析原理,分别对盐酸左氧氟沙星序贯疗法、头孢呋辛钠静脉滴注疗法和阿奇霉素静脉滴注疗法进行回顾性分析、评价。结果:3种治疗方案的总成本依次为4327.56、5327.32、5074.14元,总有效率为89.80%、88.80%、85.29%。每治愈1例社区获得性肺炎患者所期望的成本分别为3886.15、4730.66、4327.73元。结论:3种治疗方案中以盐酸左氧氟沙星序贯疗法为优。

Decision Tree Analysis of 3 Therapeutic Schemes for Community Acquired Pneumonia

OBJECTIVE:To evaluate the pharmacoeconomic(PE) efficacies of three therapeutic schemes in the treatment of community acquired pneumonia.METHODS:By applying the principle of decision tree analysis in pharmacoeconomics,a retrospective analysis and evaluation was performed on the following 3 therapeutic schemes:sequential therapy of levofloxacin hydrochloride injection,cefuroxime sodium for injection by iv gtt,and azithromycin for injection by iv gtt.RESULTS:The total costs of the three schemes were 4 327.56 yuan,5 327.32 yuan,and 5 074.14 yuan,respectively,and the total effective rates were 89.80%,88.80%,and 85.29%,respectively.The anticipant costs for each cured case of community acquired pneumonia were 3 886.15yuan,4 730.66yuan,and 4 327.73yuan,respectively.CONCLUSION:The sequential therapy of levofloxacin hydrochloride injection is the optimal one among the 3 schemes.