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GLP-1受体激动剂药品评价体系构建与遴选实践

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目的 基于《中国医疗机构药品评价与遴选快速指南(第二版)》(以下简称《快速指南》),对GLP-1 受体激动剂进行综合评价,提高医院药事服务质量,为医院开展药品临床综合评价与遴选工作建立标准、合适、规范的参考依据和工作指导。方法 参考《快速指南》,从临床属性(有效性和安全性)、药学特性、经济性、其他属性 4 个维度对纳入的药品进行赋分,制定出符合医院实际的药品临床综合评价体系,开展评价并记录评价结果。结果 司美格鲁肽77。4 分、利拉鲁肽 76。6 分、度拉糖肽 73。9 分、聚乙二醇洛塞那肽 72。7 分、利司那肽 69。4 分、艾塞那肽 67。8 分、贝那鲁肽 65。5 分。司美格鲁肽、利拉鲁肽、度拉糖肽、聚乙二醇洛塞那肽为强推荐,利司那肽、艾塞那肽、贝那鲁肽为弱推荐。结论 GLP-1 受体激动剂是合并心血管疾病高危因素的糖尿病患者一线降糖药物之一,不同GLP-1 受体激动剂在临床治疗中有不同的优势。通过《快速指南》对GLP-1 受体激动剂进行遴选评价,可为医疗机构药品遴选与合理用药提供科学的参考依据。
Construction and Selection of GLP-1 Receptor Agonist Drug Evaluation System
Objective A comprehensive evaluation of GLP-1 receptor agonist(GLP-1RA)was conducted using the Quick Guideline for Drug Evaluation and Selection in Chinese Medical Institutions(the Second Edition)(for short:Quick Guideline),to improve the quality of hospital pharmaceutical services,and establish a standard,appropriate,and standardized reference basis and work guidance for the comprehensive clinical evaluation and selection of drugs in hospitals.Methods Referring to the"Quick Guideline",the drugs included in the evaluation were quantified on four dimensions of clinical properties(efficiency and safety),pharmaceutical properties,economy and others,to develop a comprehensive clinical evaluation system for actual drugs in hospitals.Conduct an evaluation and record the results.Results Smegglutide 77.4 points,liraglutide 76.6 points,dulaglutide 73.9 points,polyethylene glycol losenatide 72.7 points,lisenatide 69.4 points,exenatide 67.8 points,and benarutide 65.5 points.Smeglutide,liraglutide,dulaglutide and polyethylene glycol losenside were strongly recommended,while liraglutide,exenatide,and benarutide were weakly recommended.Conclusion GLP-1 receptor agonist is one of the first-line hypoglycemic drugs for diabetes patients with cardiovascular disease risk factors,Various GLP-1RA offer distinct clinical advantages.Utilizing the"Quick Guideline"for oral anticoagulant selection and evaluation can offer visual evidence for hospital drug selection and promote the scientific,rational,and safe use of drugs in clinical management.

GLP-1 receptor agonistDrug evaluation systemPractice of drug selection

李烨、曹玮

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云南省第一人民医院,昆明理工大学附属医院,云南 昆明 650032

GLP-1受体激动剂 药品评价体系 药品遴选实践

2024

药品评价
江西省药学会

药品评价

影响因子:0.672
ISSN:1672-2809
年,卷(期):2024.21(2)
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