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参附注射液综合评价研究

Comperhensive evaluation research of Shenfu injection

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【作者】 邓志杰董子洵刘家伟董彬刘义伟林丽开丁玉峰

【Author】 DENG Zhi-jie;DONG Zi-xun;LIU Jia-wei;DONG Bin;LIU Yi-wei;LIN Li-kai;DING Yu-feng;Department of Pharmacy,Tongji Hospital Affiliated to Tongji Medical College of Huazhong University of Science& Technology;Institude of Hospital Management,Wuhan University;

【通讯作者】 林丽开;丁玉峰;

【机构】 华中科技大学附属同济医院药学部武汉大学医院管理研究所

【摘要】 藉由临床常用的参附注射液为研究对象,本研究探索了中药注射剂综合评价的内容和方法,以支持中药注射剂的临床合理使用、中成药价值的研究开发和药品相关决策制定,推动安全、有效和合理的药物应用。通过系统检索文献资料、运用循证医学和药物经济学等基本方法,从药学特性、有效性、安全性、经济性、适宜性、可及性和创新性等多个维度对参附注射液进行综合评价。研究结果表明,参附注射液的有效成分及其在适应证上的药理作用明确,临床疗效肯定,安全性良好。经联合常规疗法治疗心力衰竭的成本效果分析证实其具有经济性,但时效性需要更新。适宜性、可及性和创新性存在一定亮点。综上所述,本研究发现参附注射液在临床证据中部分适应证的有效性和安全性已建立一定的体系,但在经济性方面的研究有所不足且实效性需进一步更新。此外,医疗机构中的使用适宜性、可及性和创新性仍需要更深入的研究。

【Abstract】 Using Shenfu injection as a case study,this research elucidates the content and methodologies involved in the comprehensive evaluation of traditional Chinese medicine injections.The aim is to provide a foundation for the rational clinical application of Chinese medicine injections,the research and development of value in traditional Chinese medicinal products,and informed pharmaceutical decision-making,thereby promoting the safe,effective,and rational use of medications.Through systematic literature review and the application of fundamental methodologies such as evidence-based medicine and pharmacoeconomics,the comprehensive evaluation of Shenfu Injection is conducted from aspects including pharmaceutical characteristics,efficacy,safety,costeffectiveness,suitability,accessibility,and innovativeness.The outcomes of this study reveal that the active constituents of Shenfu Injection and their pharmacological effects stated in the indications are explicit,affirming clinical efficacy and demonstrating good safety profile.The economic analysis of its utilization alongside conventional therapies for heart failure establishes its cost-effectiveness;however,its timeliness necessitates updating.Suitability,accessibility,and innovativeness show some hignlights.In summary,this investigation underscores the established efficacy and safety framework for select indications of Shenfu Injection in clinical evidence,with a notable research gap in the realm of cost-effectiveness requiring further attention and refurbishment.Additionally,a more thorough investigation is warranted into the suitability,accessibility,and innovativeness of its employment within medical institutions.

  • 【文献出处】 中国临床药理学杂志 ,The Chinese Journal of Clinical Pharmacology , 编辑部邮箱 ,2023年24期
  • 【分类号】R286
  • 【下载频次】144
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