首页|钠-葡萄糖协同转运蛋白2抑制剂治疗心力衰竭的临床综合评价体系构建与实践

钠-葡萄糖协同转运蛋白2抑制剂治疗心力衰竭的临床综合评价体系构建与实践

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目的:建立钠-葡萄糖协同转运蛋白2(SGLT2)抑制剂治疗心力衰竭的临床综合评价体系,并进行实证评价,旨在为其抗心力衰竭的临床价值提供参考。方法:通过文献分析、专家访谈、安全信号挖掘等手段,结合德尔菲法,根据相关文件及指南,围绕药学特性、安全性、有效性、可及性、经济性和其他属性形成SGLT2抑制剂治疗心力衰竭的综合评价体系,并开展多维度的数据整合与分析研判。结果:构建了一套科学、客观、可量化的SGLT2抑制剂抗心力衰竭的临床综合评价体系。对各维度评价结果加权综合分析后,达格列净得分为83。14分,恩格列净为78。36分,艾托格列净为73。70分,卡格列净为70。18分。结论:基于目前的证据,SGLT2抑制剂各品种在心力衰竭治疗中有不同的优势。该评价体系及实证结果可为SGLT2抑制剂用于心力衰竭的临床治疗提供科学、有效、安全、经济的直观证据。
Construction and Practice of Clinical Comprehensive Evaluation System for Sodium-Glucose Linked Transporter 2 Inhibitors in the Treatment of Heart Failure
OBJECTIVE:To construct a clinical comprehensive evaluation system for sodium-glucose linked transporter 2(SGLT2)inhibitors in the treatment of heart failure,and to perform an empirical evaluation,so as to provide reference for clinical value in heart failure treatment.METHODS:Through literature analysis,expert interviews,safety signal mining,and the Delphi method,combined with relevant documents and guidelines,a comprehensive evaluation system for the clinical value of SGLT2 inhibitors in heart failure treatment was developed,focusing on pharmaceutical characteristics,effectiveness,safety,cost-effectiveness,other attributes,and accessibility.A qualitative and quantitative data integration analysis and comprehensive judgment of SGLT2 inhibitors were conducted from multiple dimensions.RESULTS:A scientific,objective and quantifiable clinical comprehensive evaluation system for SGLT2 inhibitors in the treatment of heart failure was established.After weighting and synthesizing the evaluation results across various dimensions,dapagliflozin obtained a score of 83.14 points,empagliflozin scored 78.36 points,ertugliflozin scored 73.70 points,and canagliflozin scored 70.18 points.CONCLUSIONS:Based on the current evidence,different SGLT2 inhibitors exhibit varying advantages in the treatment of heart failure.This evaluation system and empirical results can provide scientific,effective,safe and economical evidence for the clinical use of SGLT2 inhibitors in heart failure.

Sodium-glucose linked transporter 2 inhibitorsHeart failureClinical comprehensive evaluationClinical practice value

肖洁、林小凤、马诗瑜、张厚静、方洁、陈聪琴

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厦门大学附属心血管病医院药学部,福建厦门 361000

厦门市药学会秘书处,福建厦门 361000

上海交通大学附属瑞金医院药剂科,上海 200025

钠-葡萄糖协同转运蛋白2抑制剂 心力衰竭 临床综合评价 临床实践价值

2024

中国医院用药评价与分析
中国医药生物技术协会,中国药房杂志社

中国医院用药评价与分析

CSTPCD
影响因子:1.142
ISSN:1672-2124
年,卷(期):2024.24(8)