国家科技部中国科技论文统计源期刊   中国科技核心期刊   WHO西太平洋地区医学索引(WPRIM)收录期刊   湖北优秀期刊
《药物流行病学杂志》官方网站与投审稿系统变更通知<点击查看详情>
绝经后妇女原发性高脂血症4种治疗方案的疗效及成本-效果分析
Cost-effectiveness Analysis and Safety Evaluation of Four Kinds of Primary Hyperlipidemia Treatment Programs for Postmenopausal Women
  
DOI:
中文关键词:  阿托伐他汀钙  瑞舒伐他汀钙  非诺贝特  辛伐他汀  成本 效果分析  高脂血症  绝经期妇女
英文关键词:Atorvastatin calcium  Rosuvastatin calcium  Fenofibrate  Simvastatin  Cost-effectiveness analysis  Hyperlipidemias  Menopause
基金项目:
作者单位
吴飞跃 浙江省舟山医院药剂科(浙江舟山 316000) 
贝金币 浙江省舟山医院内科(浙江舟山 316000) 
摘要点击次数: 1013
全文下载次数: 926
中文摘要:
      摘 要 目的:比较4种抗绝经后妇女原发性高脂血症方案的临床疗效和安全性,用药物经济学方法进行成本 效果分析。方法: 采用随机对照临床研究方法,将符合标准的患者随机分成A组(阿托伐他汀钙片)、B组(瑞舒伐他汀钙片)、C组(非诺贝特缓释胶囊)和D组(非诺贝特缓释胶囊联合辛伐他汀分散片)。疗程均为2个月。治疗前后分别测定各组患者总胆固醇(TC)、三酰甘油(TG)、低密度脂蛋白胆固醇(LDL-C)和高密度脂蛋白胆固醇(HDL-C)等指标,进行成本 效果分析及安全性评价。结果:A、B、C、D组患者2个月的治疗成本分别为265.8元、246.6元、235.2元和364.5元。在TC、TG和HDL-C等指标上C组成本 效果比最小。在LDL-C指标上B组方案最优。结论:当绝经后妇女原发性高脂血症患者的体检结果以LDL-C过高为主,可优先选择B组方案,如主要问题为TC、TG和HDL C超标时,可优先选择C组方案。
英文摘要:
      ABSTRACT Objective::To compare the clinical effects of 4 kinds of treatment programs for postmenopausal women on primary hyperlipidemia, and to analyze their cost-effectiveness and evaluate their safety with the medical economics method. Methods:The randomized controlled clinical study was used. 104 postmenopausal women with primary hyperlipidemia were divided into 4 group: Group A (atorvastatin calcium tablets), Group B(rosuvastatin calcium tablets), Group C (fenofibrate sustained release capsules) and Group D(fenofibrate sustained release capsules combined with simvastatin dispersible tablets), respectively. The patients were treated for 2 months. Such indicators as TC, TG, LDL-C HDL-C were measured before and after the treatment. The cost-effectiveness ratio and safety evaluation were analyzed. Results:The cost of Group A, B, C and D was 265.8, 246.6, 235.2 and 364.5 RMB, respectively. After the analysis, the cost effectiveness ratio of Group C was the lowest in their TC, TG and HDL-C indicators and that of Group B was the lowest in the LDL-C indicator. Conclusion:When TC, TG and HDL C for postmenopausal women were high, they could select Group C program while those who had their high LDL-C could select Group B program.
查看全文  查看/发表评论  下载PDF阅读器
关闭