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盐酸莫西沙星与头孢曲松钠联合阿奇霉素治疗中重度老年社区获得性肺炎的疗效与成本-效果分析

Efficacy and cost-effectiveness analysis of moxifloxacin hydrochloride and combination of ceftriaxone sodium with azithromycin in the treatment of moderate to severe community acquired pneumonia in elderly patients

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【作者】 杨淑桂张山红

【Author】 YANG Shu-gui1,ZHANG Shan-hong2 (1 Department of Pharmacy,2 Emergency Department,China-Japan Friendship Hospital,Beijing 100029,China)

【机构】 中日友好医院药学部中日友好医院急诊科

【摘要】 目的:对盐酸莫西沙星与头孢曲松钠联合阿奇霉素治疗中重度老年社区获得性肺炎进行疗效观察及成本-效果评价。方法:选取本院100例中重度老年社区获得性肺炎住院患者,随机分成盐酸莫西沙星组50例和头孢曲松钠联合阿奇霉素组50例,观察两组疗效并进行成本-效果分析。结果:盐酸莫西沙星组和头孢曲松钠联合阿奇霉素组总成本分别为2305.52元和2477.79元;总有效率分别为90.00%和84.00%(P>0.05);成本-效果比分别为25.62和29.50;药物不良反应发生率分别为8.00%和10.00%(P>0.05)。结论:盐酸莫西沙星的治疗方案为中重度老年社区获得性肺炎治疗的较好方案。

【Abstract】 Objective:To evaluate the clinical consequences and cost-effectiveness of moxifloxacin hydrochloride and combination of ceftriaxone sodium with azithromycin in the treatment of moderate to severe community acquired pneumonia in elderly patients. Methods:A total of 100 elderly patients with moderate to severe community acquired pneumonia in our hospital were randomly divided into moxifloxacin hydrochloride group (n=50) and combination of ceftriaxone sodium with azithromycin group (n=50). The therapeutic effects were monitored and the cost-effectiveness analysis was conducted on the two groups. Results:The total costs of the moxifloxacin group and the combination group were 2 305.52 Yuan and 2 477.79 Yuan; the total effective rates were 90.00% and 84.00%(P>0.05); the cost-effectiveness ratios were 25.62 and 29.50; the incidence of adverse drug reactions were 8.00% and 10.00%(P>0.05),respectively. Conclusion:Moxifloxacin hydrochloride is a better option in the treatment of moderate to severe community acquired pneumonia in elderly patients.

  • 【文献出处】 中国新药杂志 ,Chinese Journal of New Drugs , 编辑部邮箱 ,2009年10期
  • 【分类号】R563.1
  • 【被引频次】8
  • 【下载频次】264
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