苯巴比妥治疗癫痫发作技术在基层卫生机构应用的卫生经济学分析  

Health Economics Analysis on Administration of Phenobarbital for Patients with Epileptic Seizures in the Primary Health Institutions

作　　者：石学峰[1] 李瑞[2] 黄晓静[1] 房耘耘[1] 程薇[1] 

机构地区：[1]北京中医药大学,北京市100029 [2]首都医科大学宣武医院

出　　处：《中国全科医学》2011年第34期3990-3994,共5页Chinese General Practice

基　　金：国家"十一五"科技支撑计划重大项目"农村卫生服务适宜技术收集应用研究"(2007BAI07A01)

摘　　要：目的分析苯巴比妥治疗癫痫发作技术在基层卫生机构的应用效果及费用情况,为该技术的推广提供理论支持。方法将2010年7—8月在宁夏回族自治区3个乡镇卫生院就诊的164例癫痫病患者随机分配到适宜技术组与常规技术组,调查不同治疗方法的效果与费用情况。结果适宜技术组患者的治愈率与好转率分别为18.5%与71.6%,常规技术组患者的治愈率与好转率分别为20.3%与65.8%。适宜技术组患者平均每日药物费用仅为0.199元,而常规技术组患者平均每日药物费用为2.838元。在达到同样治疗效果的情况下,常规技术组的总费用是适宜技术组的7.26倍。结论苯巴比妥治疗癫痫发作技术取得了良好的治疗效果和推广价值,应加大该项技术的推广力度。Objective To analyze the effect and cost on the use of Phenobarbital as an appropriate health technology in the treatment of epileptic seizures in the primary health institutions,so as to provide some theory support for the promotion of the health technology. Methods Totally 164 patients with epilepsy from 3 township hospitals of the Ningxia Hui Autonomous Region were randomly assigned to the appropriate technology group and conventional technology group from July to August of 2010,and the therapeutic effects and costs of the two therapies were investigated. Results The cure rate and recovery rate were 18.5% and 71.6% in the appropriate technology group,and 20.3% and 65.8% in the appropriate technology group;the average daily drug costs were respectively RMB 0.199 yuan and 2.838 yuan in the two groups.And the total cost of conventional technology group was 7.26 times that of the appropriate technology for achieving the same therapeutic effect. Conclusion The appropriate technique of employing Phenobarbital for treatment of epileptic seizures is of good effect,so a great effort should be made to assure its popularization.

关 键 词：癫痫 苯巴比妥 卫生适宜技术 卫生经济学分析 

分 类 号：R742.1[医药卫生—神经病学与精神病学]