首页|3种氨氯地平治疗原发性高血压的药物经济学分析

3种氨氯地平治疗原发性高血压的药物经济学分析

Pharmacoeconomic analysis of 3 kinds of amlodipine for essential hypertension

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目的 对3种氨氯地平治疗原发性高血压的药物经济学进行分析.方法 将150例原发性高血压的患者随机分成3组,每组50例.A组服用苯磺酸氨氯地平(5 mg/d).B组服用苯磺酸左旋氨氯地平(2.5 mg/d),C组服用马来酸氨氯地平(5m/d).观察3组疗效和不良反应,并运用药物经济学原理进行成本-效果分析.结果 A、B、C3组总有效率分别为81.6%、84.0%、77.1%,各组间总有效率差异无统计学意义(P>0.05);A、B、C组不良反应发生率分别为10.2%、4.0%、22.9%,A、B组与C组比较,差异有统计学意义(均P<0.05);A、B、C组的成本-效果比分别为3.73、1.93和1.41.结论 3种氨氯地平在疗效上无显著差异.其中苯磺酸氨氯地平的成本-效果比最高,马来酸氨氯地平不良反应发生率较高,只有苯磺酸左旋氨氯地平成本-效果比适果中,且不良反应发生率最低.苯磺酸左旋氨氯地平是一种安全、有效、经济的抗高血压药物.
Objective To study the pharmacoeconmics of 3 kinds of amlodipine for essential hypertension. Methods 150 patients with essential hypertension were randomized into 3 groups. Group A was given amlodipine besylate(5 mg,qd). Group B was given L-amlodipine besylate(2.5 mg,qd). Group C was given amlodipine maleate(5 mg,qd). The curative and side effects were monitored and the cost-effective analysis were performed according to the principle of pharmacoeconomics. Results The total effective rates of the 3 groups were 81.6% ,84.0% and 77. 1% respectively showing no significant differences among Group A,B and C ( P > 0. 05) . The incidence rates of side effects of 3 groups were 10. 2% , 4.0% ,22.9% respectively showing significant differences between group C and other 2 groups (group A and B ) (p < 0. 05 ). The cost-effective ratios were 3. 73,1. 93 and 1.41 respectively. Conclusions There was no significant differences in efficacy of 3 kinds of amlodipine. However,the cost-effective ratio of amlodipine besylate was highest. The side effects of amlodipine maleate was more than others (P < 0.05). In conclusion,L-amlodipine besylate is the best choice because it's safe,effective,and economic. So it can be used widely in clinical for hypertension treatment.

amlodipineessential hypertensioncost-effective analysis

何琼、张正春

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苏州大学附属第一医院药学部,江苏苏州215006

苏州大学附属第一医院神经内科,江苏苏州215006

氨氯地平 原发性高血压 成本-效果分析

2012

苏州大学学报(医学版)
苏州大学

苏州大学学报(医学版)

CSTPCD
影响因子:0.499
ISSN:1673-0399
年,卷(期):2012.32(3)
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