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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;
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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 ·