速效救心丸和麝香保心丸治疗冠心病心绞痛的成本-效果分析

Cost-effectiveness Analysis of Suxiao Jiuxin Pill and Shexiang Baoxin Pill for the Treatment of Angina Pectoris

关键词:  冠心病心绞痛  速效救心丸  麝香保心丸  成本-效果分析

Key words:  angina pectoris  Suxiao Jiuxin pill  Shexiang Baoxin pill  cost-effectiveness

摘要:

目的 比较速效救心丸和麝香保心丸治疗冠心病心绞痛的经济性。方法 通过文献综述和meta分析计算速效救心丸和麝香保心丸治疗冠心病心绞痛的有效率；根据发改委、省物价局、卫生系统公布的药品价格和检查价格，计算成本数据；在此基础上基于全社会的角度进行成本-效果分析。结果 在确定性分析中，速效救心丸组的总成本低于麝香保心丸组(分别为384.96元和396.70元)、治疗有效率高于麝香保心丸组(分别为88.57%和87.11%)；针对文献质量、药品价格、疗程进行敏感性分析，结果基本与确定性分析相一致，但“文献质量”为敏感性因素。结论 速效救心丸治疗冠心病心绞痛的经济性总体上优于麝香保心丸，但还需深入研究。

Abstract:

OBJECTIVE To compare the economy of Suxiao jiuxin pill and Shexiang baoxin pill in treatment of angina pectoris. METHODS According to the literature review and meta-analysis to calculate the effective rate of Suxiao jiuxin pill and Shexiang baoxin pill; and then combine the price from the National Development and Reform Commission, Commodity Prices, health system to perform cost-effectiveness analysis from a social prospective. RESULTS The deterministic study showed that the cost of Suxiao jiuxin pill was lower than Shexiang baoxin pill (￥384.96 vs ￥396.70), and the effective rate of Suxiao jiuxin pill was higher than Shexiang baoxin pill(88.57% vs 87.11%). Sensitivity analysis was robust but the quality of literature was a sensitive factor. CONCLUSION Suxiao jiuxin pill is better than Shexiang baoxin pill in treating angina pectoris in terms of the economy, but it still needs further research.