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·指南与共识·


          口服二氢吡啶类钙通道阻滞剂治疗心血管疾病的快速综合评价

          广西专家共识
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          周思茹 ,丘 岳 ,申伟培 ,黄振光 ,陈晓宇 ,张宏亮 (1.广西医科大学第一附属医院药学部,南宁 530021;
                          1
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          2.广西壮族自治区人民医院药学部,南宁 530021)
          中图分类号  R95;R972      文献标志码  A      文章编号  1001-0408(2025)07-0769-10
          DOI  10.6039/j.issn.1001-0408.2025.07.01
          摘  要  目的  对广西地区临床常用口服二氢吡啶类钙通道阻滞剂(DHP CCBs)进行快速综合评价,为临床用药及医疗机构遴选
          药物提供科学依据。方法  基于广西壮族自治区二级及以上级别公立医疗机构实际用药数据,以国家集采目录为基准,遴选出临
          床常用口服DHP CCBs。广西药学会循证药学专业委员会组织区内多家医疗机构有关专家,参考《中国医疗机构药品评价与遴选
          快速指南(第二版)》,结合最新的循证医学研究成果,并广泛征求临床和药学专家建议,从药学特性、有效性、安全性、经济性及其
          他属性5个关键维度对遴选出的口服DHP CCBs进行量化评分,最终制定《口服二氢吡啶类钙通道阻滞剂治疗心血管疾病的快速
          综合评价广西专家共识》。结果  共遴选出 30 种临床常用口服 DHP CCBs。其中以苯磺酸氨氯地平片(晖致)的综合评分最高
         (81.79分),其优势主要体现在药学特性、有效性和其他属性3个方面;综合评分排第2、3名的分别为苯磺酸氨氯地平片(重庆药
          友)和苯磺酸氨氯地平片(苏州东瑞),分别为81.66、81.60分。结论  本共识可为广西地区口服DHP CCBs的临床合理应用以及医
          疗机构药品目录的遴选提供指导建议和决策支持。
          关键词  二氢吡啶类钙通道阻滞剂;心血管疾病;快速综合评价;专家共识;广西

          Guangxi  expert  consensus  on  rapid  comprehensive  evaluation  of  oral  dihydropyridine  calcium  channel
          blockers in the treatment of cardiovascular disease
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          ZHOU Siru ,QIU Yue ,SHEN Weipei ,HUANG Zhenguang ,CHEN Xiaoyu ,ZHANG Hongliang(1.  Dept.  of
          Pharmacy,  the  First  Affiliated  Hospital  of  Guangxi  Medical  University,  Nanning  530021,  China;2.  Dept.  of
          Pharmacy, the People’s Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China)
          ABSTRACT   OBJECTIVE  To  conduct  a  rapid  and  comprehensive  evaluation  of  commonly  used  oral  dihydropyridine  calcium
          channel  blockers (DHP  CCBs)  in  Guangxi,  and  provide  scientific  basis  for  clinical  medication  and  drug  selection  in  medical
          institutions. METHODS Based on the actual drug use data of public medical institutions at the second level and above in Guangxi
          Zhuang  Autonomous  Region,  and  based  on  the  national  centralized  collection  catalog,  commonly  used  oral  DHP  CCBs  were
          selected.  The  Professional  Committee  of  Evidence-based  Pharmacy  of  the  Guangxi  Pharmaceutical  Association  organized  relevant
          experts  from  multiple  medical  institutions  in  the  region  to  conduct  a  quantitative  scoring  of  the  selected  oral  DHP  CCBs  from  five
          key  dimensions  of  pharmaceutical  characteristics,  effectiveness,  safety,  economy,  and  other  attributes,  by  referring  to  the  Quick
          Guideline  for  Drug  Evaluation  and  Selection  in  Chinese  Medical  Institutions (the  Second  Edition),  combined  with  the  latest
          evidence-based  medical  research  results,  and  widely  soliciting  suggestions  from  clinical  and  pharmaceutical  experts.  Finally,  the
          Guangxi  Expert  Consensus  on  Rapid  Comprehensive  Evaluation  of  Oral  Dihydropyridine  Calcium  Channel  Blockers  in  the
          Treatment  of  Cardiovascular  Disease  was  formulated.  RESULTS  A  total  of  30  commonly  used  oral  DHP  CCBs  were  selected.
          Among  them,  Amlodipine  besylate  tablets (Huizhi)  demonstrated  superior  comprehensive  performance (81.79  points),  excelling
          particularly  in  pharmaceutical  properties,  effectiveness  and  other  attributes.  The  compound  scores  of  Amlodipine  besylate  tablets
                                                            (Chongqing Yaoyou)  and Amlodipine  besylate  tablets (Suzhou
             Δ 基金项目 国家卫生健康委医院管理研究所重点研发项目(No.                 Dongrui)  ranked  second  and  third  respectively,  with  scores  of
          YLZLXZ23K004)                                      81.66  and  81.60  points.  CONCLUSIONS  This  consensus  can
             *第一作者 药师,硕士。研究方向:药物评价、医院药学以及个体
                                                             provide  guidance  and  decision-making  support  for  the  rational
          化用药。E-mail:643532955@qq.com
             # 通信作者 主任药师,硕士生导师,博士。研究方向:循证药学、                 clinical  application  of  oral  DHP  CCBs  in  Guangxi  Region  and
          数据挖掘与处理。E-mail:277749097@qq.com                    the selection of drug directories in medical institutions.


          中国药房  2025年第36卷第7期                                                 China Pharmacy  2025 Vol. 36  No. 7    · 769 ·
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