首页|达肝素钠注射液和依诺肝素钠注射液用于骨科手术后预防静脉血栓栓塞症的成本效果分析

达肝素钠注射液和依诺肝素钠注射液用于骨科手术后预防静脉血栓栓塞症的成本效果分析

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目的 分析达肝素钠注射液和依诺肝素钠注射液在骨科手术后患者中预防静脉血栓栓塞症(VTE)的成本效果,为临床用药决策提供经济学依据。方法 回顾性分析 2021 年 7 月~2022 年 12 月成都市新都区人民医院收治的 106 例骨科手术患者的病历资料,根据不同的术后干预方法分为观察组和对照组,每组 53 例。观察组行达肝素钠注射液预防骨科手术后VTE的发生,对照组则采用依诺肝素钠注射液进行预防,对两组患者用药的成本效果进行分析。结果 达肝素钠注射液和依诺肝素钠注射液的成本分别为 481。32 元和 616。42元,预防有效率分别为 98。11%和 94。34%,两者有效性和安全性的差异无统计学意义(P>0。05),但两者的成本效果比分别为 490。59 和653。40。结论 在骨科手术后,采用达肝素钠注射液和依诺肝素钠注射液预防VTE发生的疗效相当,均具备较高应用价值;但在药物治疗成本上,达肝素钠注射液则更具经济优势。
Cost-effectiveness analysis of dalteparin sodium injection and enoxaparin sodium injection in preventing venous thromboembolism after orthopedic surgery
Objective Analyze the cost-effectiveness of dalteparin sodium injection and enoxaparin sodium injection in preventing venous thromboembolism(VTE)in patients after orthopedic surgery,and provide economic basis for clinical medication decision-making.Methods The medical records of 106 patients with orthopaedic surgery who were admitted to Xindu District People's Hospital of Chengdu from July 2021 to December 2022 were retrospectively analyzed.According to different postoperative intervention methods,they were divided into two groups,the observation group and the control group,with 53 cases in each.The observation group received dalteparin sodium injection to prevent VTE after orthopedic surgery,while the control group received enoxaparin sodium injection for prevention.The cost-effectiveness of medication was then analyzed for both groups of patients.Results The cost of dalteparin sodium injection and enoxaparin sodium injection were 481.32 yuan and 616.42 yuan,respectively,and the preventive effective rates were 98.11%and 91.34%,respectively.There was no statistically significant difference in effectiveness and safety(P>0.05),but the cost-effectiveness ratios of the two were 490.59 and 653.4,respectively.Conclusion The efficacy of using dalteparin sodium injection and enoxaparin sodium injection in preventing VTE after orthopedic surgery is equivalent,and both have high application value;However,in terms of drug treatment costs,dalteparin sodium injection has more economic advantages.

Dalteparin sodium injectionEnoxaparin sodium injectionVenous thromboembolismCost-effectiveness analysis

吴勇刚

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成都市新都区人民医院,成都 610500

达肝素钠注射液 依诺肝素钠注射液 静脉血栓栓塞症 成本效果分析

四川省医学会(恒瑞)科研基金专项科研课题

2021HR22

2024

中国处方药
南方医药经济研究所

中国处方药

影响因子:0.649
ISSN:1671-945X
年,卷(期):2024.22(9)