致康胶囊配合西药治疗幽门螺杆菌相关性消化性溃疡的疗效和费用对比观察
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Effects and Costs analysis of Zhikang Capsule in combination with Western Medicine for Helicobacter Pylori related Peptic Ulcer
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    摘要:

    目的:观察以致康胶囊为基础配合西药治疗幽门螺杆菌(Hp)的疗效、不良反应和药品费用,以探讨临床较佳的改善溃疡愈合质量的方案。方法:采用分组对照的研究方法,并应用药物经济学方法分析各方案的费用与效果。初次根除Hp共115例,分为A、B、C、D 4组。A组为致康胶囊1次06g,4次/日,阿莫西林胶囊05g,4次/日,克拉霉素025g,2次/日,兰索拉唑30mg,2次/日;疗程为7天。B组为致康胶囊1次06g,4次/日。疗程为7天。C组为阿莫西林胶囊05g,4次/日,克拉霉素025g,2次/日,兰索拉唑30mg,2次/日;疗程为7天。D组为再次根除Hp共27例,方案同A组。疗程为7天。结果:A、B、C组的Hp根除率分别为93%、32%、94%,A、C组间无显著差异(P>005)。D组根除率为81%。不良反应总发生率为162%,C组与A+D组或B组间有非常显著差异(P<001),A组与D组间无显著差异(P>005)。治疗后1年,消化性溃疡发病率及Hp感染的变化,C组与A+D组或B组间有非常显著差异(P<001),A组与D组间无显著差异(P>005)。治疗后1年消化性溃疡费用效益分析,边缘成本效益(IncrC/E)、成本效益(C/E)以A、C2组方案较优,A组方案最优。结论:加用致康胶囊能有效地改善治疗后1年消化性溃疡发病率及Hp感染率,不良反应少。治疗后1年费用效益分析,以A、C2组方案较优,A组方案最优。

    Abstract:

    To investigate effects and costs of Zhikang Capsule in combination with western Medicine for Helicobacter Pylori (Hp) to design rational corrective regimen for peptic ulcer.Methods:a grouped, positive-controlled study, and Pharmaco economics methods. Hp first eradicated patients(n=115) were grouped and received respective treatments over a period of 7 days: group A received Zhikang Capsule 0.6g Tid, Amoxicillin 0.5g Tid, Clarithromycin 0.25g Bid, Lansoprazol 30mg Bid. Group B: Zhikang Capsule 0.6g Tid. Group C: Group A minus Zhikang Capsule. Group D: 27 second eradiated patients, same regimen as group A. Results:eradicate rates for group A,B,C,D were respectively 93%,32%,94%,81%. Total AE rate= 16.2%. Differences between A and C, A and D were not significant (P>0.05). Differences between C and (A+D), C and B were significant (P<0.01). After 1 year of treatment, C and (A+D), C and B were significantly different in terms of ulcer occurrence rate and Hp infection (P<0.01), A and D not significantly different (P>0.05)。In terms of CEA analysis (IncrC/E, C/E), A was the most cost effective, C was the second best. Conclusion: Zhikang Capsule, as an add-on treatment can reduce ulcer rate and Hp infection rate after 1-year treatment, and A is the most cost effective.

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蒋定平,肖奇科,许军英.致康胶囊配合西药治疗幽门螺杆菌相关性消化性溃疡的疗效和费用对比观察[J].世界中医药,2011,6(1).

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  • 收稿日期:2009-02-16
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  • 在线发布日期: 2013-07-05
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