Cost-effectiveness analysis of Baofukang suppository and Zaoshiqingdu decoction in the treatment of cervicitis with HPV infection
-
摘要: 目的 运用药物经济学评价的方法分析保妇康与燥湿清毒饮辅助治疗宫颈炎合并人乳头状瘤病毒(human papillomavirus,HPV)感染的应用价值。 方法 回顾性分析2014年12月—2016年1月杭州市第三人民医院收治的213例宫颈炎合并HPV感染患者,根据治疗方式分为2组,均给予重组人干扰素α-2b凝胶,1 g/次,隔日1次;此外,A组给予燥湿清毒饮,400 ml/d,早、晚各服200 ml;均于月经干净后第3天开始给药,10 d为1个疗程,连续治疗2个疗程后停止,下个月再行治疗,共治疗3个月;B组给予保妇康栓剂,1粒/次,1次/d。对比2组的疗效,并行成本-效果分析,计算成本效果比(AC/E)与增量成本效果比(△AC/△E)。 结果 2组患者的年龄与阴道分泌物清洁度差异有统计学意义(P<0.05);病程、中医症候评分、HPV载量及类型基本一致(P>0.05)。A组的临床疗效高于B组(Z=-3.240,P=0.001),A、B两组的并发症发生率分别为4.9%、1.8%,组间差异无统计学意义(χ2=0.780,P=0.377)。A、B两组的AC/E分别为17.03、14.34,A组高于B组,△AC/△E为25.81,行3轮Bootsrap分析考察其敏感度,所得△AC/△E均值为27.61,与成本-效果分析结果相近。 结论 燥湿清毒饮辅助治疗宫颈炎疗效较高,但从药物经济学角度来看,性价比稍逊于保妇康,临床可根据患者需要灵活选择。Abstract: Objective To analyze the clinical value of Baofukang suppository and Zaoshiqingdu decoction in the treatment of cervicitis with human papillomavirus(HPV) infection by pharmacoeconomic evaluation methods. Methods Total 213 patients with cervicitis as well as HPV infection were divided into 2 groups according to treatment methods,and all the patients were given human recombinant interferon alpha 2b gel,1 g every time,qid.In addition,the patients in Group A were given Zaoshiqingdu decoction,400 ml/d,each 200 ml morning and night,and those in Group B were given Baofukang suppository,one grain every day.All the patients were treated for 3 days after menstruation,and treated for 2 courses every month used 10 d as a course of treatment,and the total treatment time was 3 months.The clinical effect between groups was compared,at the same time,cost-effectiveness analysis was completed to calculate cost effectiveness ratio(AC/E) and incremental cost effectiveness ratio(△AC/△E). Results There was significant difference in age of patients and vaginal cleanness between the two groups(P<0.05);but there was no significant difference in disease course,TCM score,HPV-DNA expression and HPV types(P>0.05).The clinical effective rate of Group A was higher than that of Group B(Z=-3.240,P=0.001),the incidence of complications of Group A and Group B was respectively 4.9% and 1.9%,and there was no statistical significance between groups(χ2=0.780,P=0.377).The AC/E of Group A and Group B was 17.03 and 14.34,respectively,and the △AC/△E was 25.81.The sensitiveness was analyzed by 3 cycles Bootstrap method,and got an average △AC/△E level of 27.61,which was similar with the results of cost-effectiveness analysis. Conclusion The clinical effect of Zaoshiqingdu decoction can get higher effective rate in the treatment of cervicitis with HPV infection,but Baofukang suppository get higher cost performance,and we can choice flexible according to the needs of patients.
-
Key words:
- Human papillomavirus /
- Baofukang suppository /
- Zaoshiqingdu decoction /
- Cervicitis
点击查看大图
计量
- 文章访问数: 143
- HTML全文浏览量: 32
- PDF下载量: 0
- 被引次数: 0