两种方案治疗糖尿病周围神经病变的成本-效果分析.pdfVIP

糖尿病新世界 2015 年 5 月 ·卫生经济· 两种方案治疗糖尿病周围神经病变的成本—效果分析 王玉秋 邹城市人民医院 , 山东邹城　273500 [ 摘要 ] 目的 观察脉络宁注射液联合甲钴胺与单用甲钴胺两种方案治疗糖尿病周围神经病变的药物经济学效果。方法 2010 年 3 月—2014 年 12 月来该院门诊及住院治疗的糖尿病周围神经病变患者共 150 例，应用脉络宁注射液联合甲 钴胺治疗 75 例，并以单用甲钴胺治疗 75 例作对照，运用药物经济学方法比较其成本—效果。结果 对照组总有效率为 74.7%，成本为 3413.9 元，C/E 为 45.7 元；观察组总有效率为 96.0%，成本为 3895.7 元，C/E 为 40.6 元，观察组单位治 疗效果所需费用较对照组低 5.1 元。结论 脉络宁注射液联合甲钴胺治疗糖尿病周围神经病变符合临床用药有效、经济 的原则，是优选方案。 [ 关键词 ] 脉络宁注射液；甲钴胺；糖尿病周围神经病变；成本—效果；分析 [ 中图分类号 ] R587.2 [ 文献标识码 ]A [ 文章编号 ]1672-4062(2015)05(b)-0045-02 Cost-effectiveness Analysis of Two Therapeutic Schemes in the Treatment of Diabetic Peripheral Neuropathy WANG Yu-qiu Zoucheng Peoples Hospital , Zoucheng,Shandong Province,273500 China [Abstract]Objective To observe the effect of Mailuoning injection combined with mecobalamin and single methylcobalamin two schemes in the treatment of diabetic peripheral neuropathy pharmacoeconomic effect.Methods in 2010 March to 2014 December in our hospital outpatient and inpatient treatment of diabetic peripheral neuropathy in patients with a total of 150 cases, the effect of Mailuoning injection combined with Mecobalamin in treatment of 75 cases with single methylcobalamin treatment, and 75 cases as control group, using pharmacoeconomic method compare the cost - effectiveness.Results in the control group, the total effective rate was 74.7%, the cost is 3413.9 yuan, C/E for 45.7 yuan; total effective rate of observation group was 96%, the cost is 3895.7 yuan, C/E for 40.6 yuan, the observation group treatment effects by unit cost is lower than the control group of 5.1 yuan.Conclusion Mailuoning injection combined with Mecobalamin in the treatment accorded the clinical effective, economic princ