5种治疗淋菌性尿道炎方法的成本-效果分析

目的 :探讨不同药物治疗方法对相同疾病的经济效果。方法 :选择146例淋菌性尿道炎病人 ,用5种不同的药物治疗 ,分别为A组阿奇霉素 ,B组克拉霉素 ,C组头孢克洛 ,D组头孢曲松和E组大观霉毒 ;A、B、C3组均为口服给药 ,疗程7d ;D、E组为肌肉注射给药 ,疗程3d。运用药物经济学的成本 -效果分析方法进行评价。结果 :5种方法的总成本依次为297 70、219 88、134 81、501 55、265 57元 ,其有效率分别为95 4 %、91 7 %、100 %、100 %、98 1 %。结论 :C组方法为最佳治疗方案。

Cost-effectiveness Analysis of Five Therapeutic Schemes for Gonococcal Urethritis

AIM:To evaluate the economic effectiveness in different pharmaco-therapeutic schemes for patients with Gonococcal urethritis METHODS:146 patients with Gonococcal infections were divided into 5 groups A, B, C, D and E They received different therapeutic shemes,A: azithromycin 0 5g,po, qd×7d,B:clarithromycin 0 5g,po,qd×7d,C:cefaclor 0 5g,po,qd×7d,D: ceftriaxone 1g,im,qd×3d,E: spectinomycin 2g,im,qd×3d RESULTS:The cost of A,B,C,D,E schemes were RMB 297 80,219 88,134 81,501 55 and 265 57 yuans, repectively, and the effective ratio were 95 4%,91 7%,100%,100% and 98 1%, respectively CONCLUSION: According to the evaluation with pharmacoeconomic cost-effectiveness analysis, C is the best sheme