CAJ | 학술논문

目的：为寻找患者经济上更能接受的预防增生性瘢痕的方法，进行丹参霜/超声波和秀碧/超声波两种预防增生性瘢痕方案的效果和成本-效果分析的比较研究。方法将2011年1月～2012年10月在我院医学美容门诊就诊的180例创伤患者分成两组，分别以丹参霜/超声波（A组80例）、秀碧/超声波（B组100例）治疗，分别用丹参霜或秀碧以超声波声头反复均匀地按摩15min，以强度0.75～1.25W/cm2，每天1次，两组疗程均为60d，并运用药物经济学方法评价两组的成本-效果。结果 A、B组预防增生性瘢痕的有效率分别为97.5％和99.0％，患者支付成本分别为1800元、1980元，成本-效果比分别为18.46（1800/97.5%）和20.00（1980/99.0%）。结论在丹参霜/超声波和秀碧/超声波两种预防增生性瘢痕方案中，丹参霜/超声波方案有略好的成本-效果比，是患者更能接受的预防增生性瘢痕方法。
목적：위심조환자경제상경능접수적예방증생성반흔적방법，진행단삼상/초성파화수벽/초성파량충예방증생성반흔방안적효과화성본-효과분석적비교연구。방법장2011년1월～2012년10월재아원의학미용문진취진적180례창상환자분성량조，분별이단삼상/초성파（A조80례）、수벽/초성파（B조100례）치료，분별용단삼상혹수벽이초성파성두반복균균지안마15min，이강도0.75～1.25W/cm2，매천1차，량조료정균위60d，병운용약물경제학방법평개량조적성본-효과。결과 A、B조예방증생성반흔적유효솔분별위97.5％화99.0％，환자지부성본분별위1800원、1980원，성본-효과비분별위18.46（1800/97.5%）화20.00（1980/99.0%）。결론재단삼상/초성파화수벽/초성파량충예방증생성반흔방안중，단삼상/초성파방안유략호적성본-효과비，시환자경능접수적예방증생성반흔방법。
Objective To study short-time efficacy and cost-effectiveness of 2 groups(salvia miltiorrhiza cream/ultrasonic waves and Contractubex/ultrasonic waves)in prevention of skin scar formation after wound healing. Methods 180 cases of trauma were randomly divided into 2 groups,salvia miltiorrhiza cream/ ultrasonic waves(A) and Contractubex/ultrasonic waves(B)for 60d,75% of alcohol was used for skin disinfection,the patient were massaged 15 min with salvia miltiorrhiza cream or Contractubex under sonic applicator of ultrasonic waves with 0.75W/cm2~1.25W/cm2,once every days to wound healing,respectively,observing their results with pharmacoeconomic cost-effectiveness analysis. Results The effective rates of group A and B were 97.5% and 99.0% respectively;The cost-effectiveness rates were18.46(1800/97.5)and 20.00(1980/99.0),respectively. Conclusion In the two treat methods of 2 groups (salvia miltiorrhiza cream/ultrasonic waves and Contractubex/ultrasonic waves)in prevention of skin scar formation after wound healing,salvia miltiorrhiza cream/ultrasonic waves was more efficient in pharmacoeconomic cost-effectiveness analysis,received by wound patient in prevention of skin scar formation after wound healing.