组合型血液净化治疗重度有机磷农药中毒的疗效及成本研究.pdfVIP

·1060 · 西南国防医药2014年10月第24卷第10期 组合型血液净化治疗重度有机磷农药中毒的疗效及成本研究 段享梅，王铁荣，陈 芳，项 波，孔繁敏 ［摘要］ 目的 对组合型血液净化治疗重度有机磷农药中毒进行疗效观察，探讨其成本效果。方法 遵循临床流行病 学与卫生经济学的原理和方法，选择43例接受组合型血液净化治疗的重度有机磷农药中毒患者（治疗组），与常规内科综合 救治的重度有机磷农药中毒患者（对照组）进行对比，记录临床疗效和费用，比较两组的成本效果。结果 两组的成本效果比 （C/ E）分别为7636和9259，在达到相同康复率时，治疗组比对照组节省1623元，所需医疗费用仅为对照组的82.5%；以对照 组为基准，增量成本效果比为1269.2，治疗组每增加1%的康复率，仅比对照组多用12.69元。结论 组合型血液净化治疗重 度有机磷农药中毒在抢救成功率、治疗成本等方面均令人满意，值得在临床上推广应用。 ［关键词］ 有机磷农药；中毒；血液灌流；血液透析；成本效果 中图分类号 R595 文献标识码 A 文章编号 1004-0188（2014）10-1060-03 doi：10.3969/ j.iss .1004-0188.2014.10.007 Study on curative effects and costs of combined blood purification for treatment of severe organophosphorus pesticide poisoning Dua Xia gmei，Wa g Tiero g，Che Fa g，Xia g Bo，Ko g Fa mi Departme t of Nephropathy，Peopleˊs Hospital of Lo gcha g Cou ty，Lo gcha g，Sichua ，642150，Chi a ［Abstract］ Objective To observe the curative effectsof combi edbloodpurificatio for treatme t of severeorga ophosphorus pesticide poiso i g（SOPP）a d calculate its cost effective ess.Methods Total 43 SOPP patie ts who were treated with combi ed blood purificatio （the treatme tgroup）wereselecteda dcomparedwithother SOPPo eswhoreceivedtheco ve tio alcomprehe sive treatme t（theco trolgroup）.Accordi gtothepri ciplesa dmethodsofcli icalepidemiologya dhealtheco omics，thecli icaleffects a d health care costswere recorded a d the cost effective ess was compared betwee the two groups.Results The cost effective ess （C/ E）of the two groups was 7636 a d 9259，respectively.With the same recovery rate，the treatme t group saved 预 1623 compared with theco trolgroup，a dtherequiredmedicalexpe sewaso ly82.5% ofthatoftheco trolgroup.Whe theco trolgroupwastake as a refere ce，the cost effective ess i creme t was 1269.2，i.e. ，the treatme t group used o ly 预 12.69 more tha the co trol group for every 1% of the i creased recovery rate. Conclusion Whether the success rate of rescue or tre