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硬化患者的死亡率和病残率。本研究的目的是比较不同程度出血危险性的肝硬化患者首次出血使用普萘洛尔、硬化剂和分流术预防的费用-效果。 方法:采用Markov模式将未有过食管静脉出血的肝硬化患者以不同方案分为四组:(1)无治疗的观察组;(2)普萘洛尔组;(3)硬化剂组;(4)手术组。按Child分级和曲张静脉的类型(静脉大小和有无红色征)评定出血危险程度,将入选对象分成九层次。
Harm patients with morbidity and mortality. The purpose of this study was to compare the cost-effectiveness of propranolol, sclerosant and shunt prevention for first-time hemorrhage in cirrhotic patients with varying degrees of bleeding risk. Methods: Liver cirrhosis patients without esophageal venous hemorrhage were divided into four groups by Markov model: (1) untreated observation group; (2) propranolol group; (3) sclerotherapy group; ( 4) surgery group. According to Child classification and type of varicose veins (vein size and whether the red sign) to assess the degree of bleeding risk, the selected object is divided into nine levels.