论文部分内容阅读
目的:评价3种用药方案治疗甲状腺功能亢进的经济性.方法:收集我院2016年全年诊疗的564例甲状腺功能亢进门诊患者的病历资料,按照用药方案分成A组(185例)、B组(191例)和C组(188例).A组患者口服甲巯咪唑片2~4片,每天1次,视病情逐渐减量至0. 5~2片;B组患者口服甲巯咪唑片(用法用量同A组)+抑亢丸6 g,每天2次;C组患者口服甲巯咪唑片(用法用量同A组)+夏枯草片6片,每天2次.3组患者疗程均为10个月.观察3组患者临床疗效、不良反应发生情况和复发情况,并运用药物经济学的成本-效果分析法对3种治疗方案进行经济学评价.结果:A、B、C组的总有效率分别为94. 06％、95. 29％、95. 75％,总不良反应发生率分别为11. 36％、10. 48％、10. 11％,差异均无统计学意义(P>0. 05),3组患者均未出现复发情况.3组患者人均成本分别为633. 80、3548. 89、3596. 00元,A组成本最低.敏感度分析结果显示亦为A组成本最低.结论:3种用药方案治疗甲状腺功能亢进的疗效与安全性均较好,其中甲巯咪唑单用方案具有较高的经济性.“,”OBJECTIVE: To evaluate the economical efficiency of 3 therapeutic regimens for hyperthyroidism. METHODS: Medical records of 564 hyperthyroid outpatients were selected from our hospital in 2016, and they were divided into group A (185 cases), group B(191 cases) and group C(188 cases) according to drug use. Group A received Thiamazole tablets 2-4 tablet, once asthecondition gradually reduce th amount to 0. 5-2 tablets orally; group B received Thiamazole tablets (cusage and dosage are the same as group A)+Yikang pills 6 g, bid orally; group C received Thiamazole tablets (cusage and dosage are the same as group A)+ Xiakucao tablets 6 tablets, bid orally. The treatment courses of 3 groups lasted for 10 months. Clinical efficacy the occurrence of ADR and recurrence were observed in 3 groups. The pharmacoeconomic cost-effectiveness analysis was adopted for the economic evaluation of 3 therapeutic regimens. RESULTS: The tolal response rates of group A, B, C were 94. 06％, 95. 29％, 95. 75％, respectively; total incidence of ADR were 11. 36％, 10. 48％, 10. 11％; there was no statistical significance (P>0. 05). No recurrence occurred in the 3 groups. The average cost of 3 groups were 633. 80, 3 548. 89, 3 596. 00 yuan, respectively. The cost of group A was the lowest. The results of sensitivity analysis were also that the cost of group A was the lowest. CONCLUSIONS: 3 therapeutic regimens show good therapeutic efficacy and safety for hyperthyroidism, among which thiamazole alone has relatively higher pharmacoeconomic significance.