利培酮、阿立哌唑治疗门诊精神分裂症患者成本-效果分析  

Cost-effectiveness analysis of Risperidone and Aripiprazole in the treat-ment of outpatients with schizophrenia

作　　者：吴宇杰[1] 李君[1] 杜鹏[1] 饶顺曾[1] 吴彦 

机构地区：[1]上海市徐汇区精神卫生中心,上海200232 [2]上海交通大学医学院附属精神卫生中心,上海200030

出　　处：《中国医药导报》2015年第3期100-102,106,共4页China Medical Herald

基　　金：上海市徐汇区卫生系统青年人才培养计划(编号RCKT201241)

摘　　要：目的比较单用利培酮或阿立哌唑治疗门诊精神分裂症患者的经济效果及安全性。方法对出院时使用利培酮治疗方案或阿立哌唑治疗方案的精神分裂症患者门诊随访1年,运用经济学成本-效果分析比较两组优劣,观察治疗不良反应。结果两组在疗效方面比较,利培酮组较阿立哌唑组差,但差异无统计学意义(χ2=0.804,P=0.84);利培酮组药物费用略低于阿立哌唑组,但差异无统计学意义(t=0.39,P=0.69);成本-效果方面利培酮组优于阿立哌唑组(62.41比64.40);利培酮组高泌乳素发生率高达26.19%(11/42),而阿立哌唑无高泌乳素发生。结论使用利培酮及阿立哌唑费用及疗效相当,而利培酮引起的高泌乳素副作用发生率较高,对于门诊青年女性患者可优先选择使用阿立哌唑。Objective To compare therapeutic cost-effects and safety between Risperidone and Aripiprazole in treatment of outpatients with schizophrenia. Methods The schizophrenia patients, who were going on treating with Risperidone or Aripiprazole at discharge, were followed-up 1 year in outpatient. While economic cost-effectiveness and adverse reaction were observed and analyzed. Results Comparing the efficacy between the two groups, it was better in Risperidone group than Aripiprazole group, but there was no statistically significant difference（χ2= 0.804, P = 0.84）.Drug costs in the Risperidone group was slightly lower than the Aripiprazole group, but there was no statistically significant difference（t = 0.39, P = 0.69）. The cost-effectiveness of Risperidone was better than Aripiprazole（62.41 vs64.40）. The incidence of high prolactin was up to 26.19%（11/42） in Risperidone group, while in Aripiprazole group had no high prolactin occurring. Conclusion The expenses and efficacy are considerably between Risperidone and Aripiprazole, but the adverse reaction of high prolactin often appears in Risperidone treatment, must be cause caution,for young female patients chosen Risperidone is better.

关 键 词：利培酮 阿立哌唑 成本-效果分析 精神分裂症 

分 类 号：R749.3[医药卫生—神经病学与精神病学]