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目的:评价胃镜下治疗与奥美拉唑治疗急性上消化道出血中的经济效果。方法:将急性上消化道出血患者100例随机分为胃镜治疗组(A组)及奥美拉唑治疗组(B组)各50例,并运用药物经济学成本-效果分析法进行分析。结果:A、B两组上消化道出血的有效率无明显差异(100%&96%,P>0.05),A组的住院天数、住院的总费用均明显少于B组(6.6d&10.4.d;3821.6元&5162.7元,P均<0.05);A组成本-效果优于B组。结论:在急性上消化道出血的治疗方法选择上,应首选成本-效果比低的急诊胃镜治疗。
Objective: To evaluate the economic effects of endoscopy and omeprazole in the treatment of acute upper gastrointestinal bleeding. Methods: One hundred patients with acute upper gastrointestinal bleeding were randomly divided into gastroscope treatment group (A group) and omeprazole treatment group (B group), 50 cases each, and analyzed by cost-effectiveness analysis method. Results: There was no significant difference in the effective rate of upper gastrointestinal bleeding between groups A and B (100% & 96%, P> 0.05). The length of hospital stay and hospitalization in group A were significantly less than those in group B (6.6d & 10.4). d; 3821.6 yuan & 5162.7 yuan, P <0.05); Group A cost - better than the B group. Conclusion: In the choice of the treatment of acute upper gastrointestinal bleeding, the cost-effect ratio should be the preferred emergency endoscopy.