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静脉注射免疫球蛋白治疗儿童川崎病的循证指南(2023)

Evidence-based guideline for intravenous immunoglobulin treatment of Kawasaki disease in children(2023)

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【作者】 雷文娟周奇高琲赵俊贤刘辉田敏贾忠王荣虎亚光魏玉辉杨彦彪张红梅戴永利周素琴刘静王法琴雷晓燕王建军陶仲宾杨轶男王卫凯徐瑞峰马建丽张海平李丽亚汤兴萍王向东李哲玮邵婷玑辛明彦孟敏葛斌

【Author】 Lei Wenjuan;Zhou Qi;Gao Bei;Zhao Junxian;Liu Hui;Tian Min;Jia Zhong;Wang Rong;Hu Yaguang;Wei Yuhui;Yang Yanbiao;Zhang Hongmei;Dai Yongli;Zhou Suqin;Liu Jing;Wang Faqin;Lei Xiaoyan;Wang Jianjun;Tao Zhongbin;Yang Yinan;Wang Weikai;Xu Ruifeng;Ma Jianli;Zhang Haiping;Li Liya;Tang Xingping;Wang Xiangdong;Li Zhewei;Shao Tingji;Xin Mingyan;Meng Min;Ge Bin;Department of Pharmacy,Gansu Provincial Hospital;The Technology Center for Comprehensive Clinical Evaluation of Medicines in Gansu Province,Health Commission of Gansu Province;Pharmacoeconomics Committee,Gansu Pharmaceutical Association;Evidence-based Medicine Center, School of Basic Medical SciencesLanzhou University;Department of Pharmacy, Gansu Provincial Hospital;Evidence-based Medicine Center, School of Basic Medical Sciences,Lanzhou University;School of Public Health, Lanzhou University;Evidence-based Medicine Center, School of Basic Medical Sciences, Lanzhou University;Department of Pharmacy,The Second People’s Hospital of Lanzhou City;Department of Pharmacy, The 940th Hospital of Joint Logistics Support Force of Chinese People’s Liberation Army;Department of Pharmacy,Gansu Provincial Maternity and Child-care Hospital;Department of Pharmacy,The First Hospital of Lanzhou University;Department of Pharmacy, The First People’s Hospital of Lanzhou City;Department of Pharmacy, The Second People’s Hospital of Gansu Province;Department of Pediatric, The 940th Hospital of Joint Logistics Support Force of Chinese People’s Liberation Army;Department of Pharmacy, The Second Hospital of Lanzhou University;Department of Pharmacy, Jiuquan City People’s Hospital;Department of Pharmacy,The Second Hospital of Lanzhou University;Department of Pediatric, Gansu Provincial Hospital;Department of Pediatric, The First Hospital of Lanzhou University;Department of Pediatric, The Second Hospital of Lanzhou University;Department of Pediatric, Gansu Provincial Maternity and Child-care Hospital;Department of Pediatric, The Second People’s Hospital of Lanzhou City;Department of Pharmacy, Lanzhou Maternal and Child Health Hospital;Department of Pediatric, The People’s Hospital of Linxia;Department of Pediatric, Zhangye People’s Hospital Affiliated to Hexi University;Department of Pediatric, The First People’s Hospital of Tianshui;

【通讯作者】 孟敏;葛斌;

【机构】 甘肃省人民医院药剂科甘肃省卫生健康委员会甘肃省药品临床综合评价技术中心甘肃省药学学会药物经济学专业委员会兰州大学基础医学院循证医学中心兰州大学公共卫生学院兰州市第二人民医院药剂科联勤保障部队第九四○医院药剂科甘肃省妇幼保健院药学部兰州大学第一医院药剂科兰州市第一人民医院药剂科甘肃省第二人民医院药剂科联勤保障部队第九四○医院儿科兰州大学第二医院药剂科酒泉市人民医院药剂科甘肃省人民医院儿科兰州大学第一医院儿科兰州大学第二医院儿科甘肃省妇幼保健院儿科兰州市第二人民医院儿科兰州市妇幼保健院药剂科临夏州人民医院儿科河西学院附属张掖人民医院儿科天水市第一人民医院儿科

【摘要】 川崎病(KD)在中国发病率逐年增高,静脉注射免疫球蛋白(IVIG)是KD的一线治疗方案。目前关于KD的指南多侧重于临床诊断,IVIG治疗KD的指南缺乏多学科循证证据支持。本指南遵循《世界卫生组织指南制订手册》和《中国制订/修订临床诊疗指南的指导原则(2022版)》,通过问卷调研儿科医师和临床药师,确定10个临床问题。基于国内外现有证据,同时考虑中国患者的偏好与价值观、干预措施的成本、利弊和可及性等因素,通过德尔菲法调研,最终形成关于IVIG治疗儿童KD的10条推荐意见。本指南适用于各级医院从事KD相关工作的临床医师和临床药师。

【Abstract】 The incidence of Kawasaki disease(KD) has increased in China, and intravenous immunoglobulin(IVIG) is a first-line treatment for KD. Current guidelines on KD mostly focus on its diagnosis, while guidelines on IVIG for KD still lack evidence support. This guideline refers to the World Health Organisation Handbook for Guideline Development and Guidelines for the Development/Revision of Clinical Practice Guidelines in China(2022 edition). In this study a questionnaire was administered to pediatricians and clinical pharmacists to identify 10 clinical questions. Ten recommendations on IVIG for KD in children were finalized through Delphi based on available evidence, as well as the values of patient preferences, the cost, the balance of pros and cons, and accessibility of interventions. The guideline is applicable to clinicians and pharmacists working on KD in all levels of hospitals.

【基金】 甘肃省人民医院院内科研基金资助项目(23GSSYC-8);2021年度甘肃省药品临床综合评价工作资助项目
  • 【文献出处】 兰州大学学报(医学版) ,Journal of Lanzhou University(Medical Sciences) , 编辑部邮箱 ,2024年01期
  • 【分类号】R725.4
  • 【下载频次】131
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