针对初级失眠的商业中国多草药制剂的成本效益分析:基于网络元分析
Sihong Yang1,2, Fanya Yu3, Xinghua Xiang1,2
1Institute of Basic Research In Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing, China.
Frontiers in pharmacology
|December 25, 2025
概括
天孟口服液/囊 (TM) 与二类药物 (BZDs) 的组合是对初级失眠的最具成本效益的治疗方法. 武灵囊 (WL) 和白乐苗囊 (BLM) 也显示出成本效益.
科学领域:
- 药物经济学 药物经济学
- 卫生技术评估 卫生技术评估
- 传统中国医药 传统中国医药
背景情况:
- 初级失眠影响全球数百万,需要具有成本效益的治疗选择.
- 商用中国多草药制剂 (CCPP) 越来越多地用于治疗失眠.
- 之前的系统审查和元分析为成本效益评估提供了基础.
研究的目的:
- 评估四种用于初级失眠的CCPPs的成本效益.
- 为了比较TM,SQWWZ,WL和BLM,包括组合疗法.
- 关于失眠治疗的临床决策和健康政策.
主要方法:
- 从医疗保健系统的角度进行成本效益分析.
- 使用文献搜索和网络元分析开发患者疾病过程模型.
- 对干预策略的模拟和增量成本效益比率 (ICER) 的计算.
主要成果:
- 在89,358.00¥/QALY.的支付意愿 (WTP) 门下,TM + BZDs表现出最佳的成本效益.
- 在成本效益排名中,WL和BLM跟着TM + BZD.
- TM + BZDs比WL更具成本效益的可能性增加了超过5,897.63¥/QALY.
结论:
- 在60天的时间内,TM + BZD提供了最具成本效益的初级失眠策略.
- WL和BLM也是具有成本效益的替代品.
- 未来的研究应该探索社会观点,更长的时间视野和TCM特定的效用尺度.
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