| 老年糖尿病住院患者药疗方案的成本-效果分析 |
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| 引用本文： | 汤文璐,王永铭,杜文民,程能能,陈斌艳.老年糖尿病住院患者药疗方案的成本-效果分析[J].药物流行病学杂志,2007,16(1):40-43. |
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| 作者姓名： | 汤文璐 王永铭 杜文民 程能能 陈斌艳 |
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| 作者单位： | 1. 复旦大学药学院药理教研室,上海,200032
2. 上海市药品不良反应监测中心,上海,200032 |
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| 摘 要： | 目的：评价老年糖尿病住院患者不同药物治疗方式中不同用药方案所产生的经济结果。方法：运用成本-效果分析法分别对口服降糖药物治疗和应用胰岛素治疗两种治疗方式中各3种主要的用药方案进行分析评价。结果：格列齐特、二甲双胍联合用药是口服抗糖尿病药物治疗方式中的较优方案；格列齐特、阿卡波糖、胰岛素联合用药是应用胰岛素的药物治疗方式中的较优方案。结论：运用药物经济学理论指导临床合理用药，可使有限的资源得到合理配置。
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| 关 键 词： | 成本-效果分析 老年糖尿病 药物治疗 格列齐特 胰岛素 |
| 文章编号： | 1005-0698（2007）01-0040-04 |
| 收稿时间： | 2006-11-27 |
| 修稿时间： | 2006-11-27 |
Cost-Effectiveness Analysis of Different Drug Treatment Patterns for Elderly Diabetic Inpatients |
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| Tang Wenlu,Wang Yongming,Du Wenmin,Cheng Nengneng,Chen Binyan.Cost-Effectiveness Analysis of Different Drug Treatment Patterns for Elderly Diabetic Inpatients[J].Chinese Journal of Pharmacoepidemiology,2007,16(1):40-43. |
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| Authors: | Tang Wenlu Wang Yongming Du Wenmin Cheng Nengneng Chen Binyan |
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| Institution: | 1. Department of Pharmacology, School of Pharmacy, Fudan University, Shanghai 200032, China; 2. Shanghai Center for Adverse Drug Reaction Monitoring |
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| Abstract: | Objective: To assess the economic outcome of different drug treatment patterns in elderly diabetic inpatients. Method:By cost-effectiveness analysis, three main drug regimens were assessed respectively in two drug treatment patterns of oral hypoglycemic agents and insulin. Result:The combined medications of gliclazide and metformin were the excellent pattern in the oral treatment of diabetes and the combined medications of gliclazide, acarbose and insulin were the excellent pattern in the drug treatment of hypoglycemic agents and insulin. Conclusion:The application of pharmacoeconomic theory to guide the rational medication could direct the efficient arrangement of the limited medical resources. |
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| Keywords: | Cost-effectiveness Elderly patient Diabetic mellitus Drug therapy Gliclazide Insulin |
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