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中国西北地区终末期肾病患者治疗方式的成本分析
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中国西北地区终末期肾病患者治疗方式的成本分析
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中国西北地区终末期肾病患者治疗方式的成本分析
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Journal Article
中国西北地区终末期肾病患者治疗方式的成本分析
2012
Overview
目的评估针对终末期肾病患者的两种治疗方式——活体亲属肾移植和血液透析的成本费用并进行比较,确定一些直接影响移植费用的医疗因素及其治疗方式的效价比问题。方法回顾性分析了中国西北地区372例常规血液透析的患者和122例活体亲属肾移植患者资料,随访至少满3年。所有的数据囊括了血液透析、肾脏移植、供者摘取手术、免疫抑制剂等的相关费用以及随访期间产生的费用。结果在前3年期间,血液透析患者和肾移植患者每年平均的花费分别为13 713/31 027美元、13 502/11 038美元和13 382/10 285美元。在肾移植患者中,是否服用地尔硫卓、是否发生急性排斥反应及感染并发症同移植费用具有显著相关性。结论从第2年开始,肾移植相比透析治疗具有更优的效价比,意味着更有效率,花费更少;而肾移植术后第1年中,没有服用地尔硫卓、发生急性排斥反应及感染并发症的患者会花费更多。
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