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降血脂药品的临床综合评价方法

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目的:构建降血脂药品临床综合评价指标体系与量化分级,为科学开展降血脂药品临床综合评价提供参考依据。方法:应用层次分析模型建立降血脂药品临床综合评价指标体系、并确定评价指标的权重与各指标的量化分级情况。结果:通过整合证据,得到降血脂药品临床综合评价指标体系与量化分级情况:包含有效性、安全性、经济性、适宜性、可及性和创新性6个一级指标;每个一级指标下设立不同的二级指标,共计38个二级指标;通过矩阵计算得出各一、二级指标所占权重,并以依折麦布联合瑞舒伐他汀对比单用瑞舒伐他汀为例进临床综合评价。结论:通过层次分析法构建降血脂药品临床综合评价体系,并以依折麦布联合瑞舒伐他汀对比单用瑞舒伐他汀为例进临床综合评价,得到依折麦布联合瑞舒伐他汀用药方案更为推荐的评价结果,为降血脂药品临床综合评价提供参考。
Clinical comprehensive evaluation method for blood lipid-lowering drugs
OBJECTIVE To construct the clinical comprehensive evaluation index system and quantitative grading of blood lipid-lowering drugs,and provide reference for scientifically carrying out clinical comprehensive evaluation of blood lipid-lowering drugs.METHODS The analytic hierarchy process model was used to establish the clinical comprehensive evaluation index sys-tem of lipid-lowering drugs,and the weight of the evaluation index and the quantitative classification of each index were deter-mined.RESULTS Through the integration of evidence,the clinical comprehensive evaluation index system and quantitative grading of blood lipid-lowering drugs were obtained,including six aspects of effectiveness,safety,economy,suitability,accessi-bility and innovation.There were 38 second-level indicators in total under each first-level indicator,and the weight of each first-level and second-level indicator was obtained through matrix calculation,and ezetimibe combined with rosuvastatin compared with rosuvastatin alone was used as an example for clinical comprehensive evaluation.CONCLUSION The clinical comprehensive evaluation system of blood lipid-lowering drugs was constructed by analytic hierarchy process,and taking ezetimibe combined with rosuvastatin compared with rosuvastatin alone as an example for clinical comprehensive evaluation,the more recommended evalua-tion results of ezetimibe combined with rosuvastatin were obtained,which can provide reference for clinical comprehensive evalua-tion of blood lipid-lowering drugs.

drugs for lowering blood lipidsanalytic hierarchy process modelcomprehensive clinical evaluation of drugsevaluation index systemquantitative grading

陈朋军、王舒、董名扬、张智杨、菅凌燕

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中国医科大学附属盛京医院药学部,辽宁沈阳 110004

降血脂药品 层次分析模型 药品临床综合评价 评价指标体系 量化分级

临床重点药品使用监测和评价专项课题

Y203FH-YWPJ03-102

2024

中国医院药学杂志
中国药学会

中国医院药学杂志

CSTPCD北大核心
影响因子:1.198
ISSN:1001-5213
年,卷(期):2024.44(3)
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