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复方丹参滴丸治疗心绞痛的快速卫生技术评估

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目的 快速评价复方丹参滴丸治疗心绞痛的有效性、安全性和经济性.方法 检索PubMed、Cochrane Library、Embase、万方、中国知网等数据库.检索有关复方丹参滴丸治疗心绞痛的文献.由2名评价者根据纳入和排除标准筛选文献、提取数据和评价质量,对研究结果进行综合分析.结果 共纳入7篇系统评价(SR)/Meta分析和6篇经济学研究.在稳定型心绞痛患者中,与硝酸酯类相比,联合或单独使用复方丹参滴丸的有效性更优,单独使用复方丹参滴丸具有良好的安全性;复方丹参滴丸相比硝酸异山梨酯片具有成本效果优势.在不稳定型心绞痛患者中,与单独使用单硝酸异山梨酯相比,联合复方丹参滴丸治疗的安全性相当、有效性更优;与单独使用西医常规治疗相比,联合复方丹参滴丸治疗的有效性和安全性较好;与麝香保心丸相比,复方丹参滴丸有效性相当、经济性更优.结论 与硝酸酯类/西医常规治疗心绞痛相比,复方丹参滴丸单药或联合治疗具有较好的有效性,且不增加安全性风险,具有一定的经济性,但需结合当前价格数据进一步经济学研究.
Rapid Health Technology Assessment of Compound Salvia Pellet in the Treatment of Angina Pectoris
OBJECTIVE To evaluate clinical effectiveness,safty and economy of Compound Salvia Pellet(CSP)for angina pectoris through rapid Health Technology Assessment(rHTA).METHODS PubMed,CochraneLibrary,Embase,WanFang,CNKI databases were systematically searched.Two reviewers independently selected literatures according to the inclusion and exclusion criteria,date extraction,assessed the quality,and then comprehensively ana-lyzed the included studies.RESULTS A total of 7 systematic reviews/Meta-analyses and 6 pharmacoeconomic studies were included.For patients with stable angina pectoris,CSP alone or combined with nitrates has better efficacy than nitrates.In terms of safety,CSP alone are superior to nitrates.CSP has a cost-effective adcvantage compared with isosorbide dinitrate tablets.For patients with unstable angina pectoris,CSP combined with isosorbide mononitrate had equivalent safety and better efficacy compared with isosorbide mononitrate alone.Regardless of the effectiveness or safety,combined with CSP are superior to the conventional western medicine.CSP had equivalent efficacy and good e-conomics compared with Shexiang Baoxin pills.CONCLUSION When compared with nitrates/conventional west-ern medicine treatment for angina pectoris,single or co-using CSP offered better effectiveness,un-increased safety risk,with economic advantages.The economic researches should be further conducted combined current price stand-ards.

Compound Salvia PelletAngina pectorisRapid health technology assessment

王慧、门鹏、邓震亭、张慧杰、周淼、杨毅恒、彭德明

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南开大学附属医院(天津市第四医院)药剂科,天津 300222

北京大学第三医院药剂科,北京 100191

天津中医药大学第一附属医院药剂科,天津 300193

天津中医药研究院附属医院药剂科,天津 300120

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复方丹参滴丸 心绞痛 快速卫生技术评估

2024

海峡药学
中国药学会福建分会

海峡药学

影响因子:0.643
ISSN:1006-3765
年,卷(期):2024.36(11)