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麝香通心滴丸的临床综合评价

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采用文献研究及问卷调研相结合的方式,全面收集麝香通心滴丸在安全性、有效性、经济性、创新性、适宜性和可及性方面的相关资料和证据,采用多准则决策分析(MCDA)模型对麝香通心滴丸的临床价值进行综合评价。严格按照循证医学证据评价方法进行质量控制。指南及专家共识推荐麝香通心滴丸用于冠心病稳定型劳累性心绞痛气虚血瘀证。西医常规治疗加用麝香通心滴丸减少患者心绞痛发作次数、缩短持续时间、提高运动耐量、改善生活质量及中医证候,有效性评为A级。不良反应多为一般不良反应,未见严重不良反应报道,与说明书中不良事件、禁忌及注意事项中列举的已知风险一致,安全性评为A级。日费用7。74元,成本-效用分析显示为绝对优势方案,经济性评为A级。专家调研反馈麝香通心滴丸具有很好的临床创新性和服务创新性,创新性评为A级。无特殊保存条件、药材成分和其他限制条件,临床使用符合用药指南规范,适宜性评为A级。药品价格水平、可获得性以及可负担性整体较好,可及性评为A级。提示麝香通心滴丸的临床价值较好。
Clinical comprehensive evaluation of Shexiang Tongxin Dropping Pills
Based on literature and questionnaire research,related evidence and related data on Shexiang Tongxin Dropping Pills were collected in terms of safety,effectiveness,economy,innovation,suitability,and accessibility.In addition,multi-criteria decision analysis(MCDA)model was used to comprehensively evaluate the clinical value of Shexiang Tongxin Dropping Pills.Quality control was carried out strictly based on evidence-based medicine evaluation.Shexiang Tongxin Dropping Pills were recommended for stable fatigue angina of coronary heart disease with Qi deficiency and blood stasis by guidelines and experts.The conventional treatment of western medicine adds Shexiang Tongxin Dropping Pills to reduce the frequency of angina attacks,shorten the duration,improve exercise tolerance,and improve the quality of life and Chinese symptoms,and the effectiveness is rated as grade A.Adverse reactions are mostly general adverse reactions,and no serious adverse reactions have been reported,consistent with the known risks listed in the instruction for adverse events,contraindications,and precautions.The safety is rated as grade A,and the daily cost is 7.74 yuan.The cost-effectiveness shows that it is a treatment regimen with pharmacoeconomic advantages,and the economic performance is rated as grade A.According to specialist research,Shexiang Tongxin Dropping Pills have good clinical innovation and service innovation,and innovation is rated as grade A.There are no special storage conditions,medicinal material ingredients,or other restrictions,and the clinical use meets the specifications of the medication guidelines.The suitability is rated as grade A.The price level,availability,and affordability of drugs are generally good,and the accessibility is rated as grade A.The clinical value of Shexiang Tongxin Dropping Pills is great.

Shexiang Tongxin Dropping Pillsanginaclinical comprehensive evaluation

田夏、朱贺、李薇、韩晟

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北京大学医药管理国际研究中心,北京 100191

麝香通心滴丸 心绞痛 临床综合评价

2024

中国中药杂志
中国药学会

中国中药杂志

CSTPCD北大核心
影响因子:1.718
ISSN:1001-5302
年,卷(期):2024.49(4)
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