北京市醒脑静注射液医疗保险用药指南的建立  

Establishment of the Guidelines for Assigned Xingnaojing Injection of Medical Insurance in Beijing

作　　者：刘芳[1] 应颖秋[1] 赵荣生[1] 李静[2] 李培红[3] 李志琴[4] 张宁 王汝龙 李大魁 薛立宁 严静敏[7] 黄旭明[7] 贾方红[7] 

机构地区：[1]北京大学第三医院,北京市100191 [2]北京市煤炭总医院,北京市100062 [3]北京市西苑医院,北京市100091 [4]北京市和平里医院,北京市100013 [5]北京市崇文中医院,北京市100062 [6]北京市药学会,北京市100027 [7]北京市医疗保险事务管理中心,北京市100050

出　　处：《中国药房》2010年第28期2686-2688,共3页China Pharmacy

摘　　要：目的:建立北京市醒脑静注射液(醒脑静)循证用药指南,促进医疗保险患者合理使用醒脑静注射液。方法:对醒脑静说明书适应证进行临床研究的系统检索,对其在不同适应证中应用进行证据收集与分级。对20家不同医疗机构的医师进行问卷调查,了解其对于醒脑静适应证、应用指征、用法用量、应用时机、合并用药等方面的态度与实践。将上述2项结果提供给专家,召开专家共识会以获得醒脑静用药指南。结果:建立了医疗保险醒脑静循证用药指南,内容包括醒脑静的适应证,各适应证中醒脑静的应用指征、用药时机、用量、疗程,以及醒脑静的合并用药。在每条建议后都附有证据强度和推荐级别。结论:对于证据级别较低的药物,可在提供循证医学证据的基础上达成专家共识以建立用药指南。OBJECTIVE：To promote rational use of Xingnaojing （XNJ） injection in medical insurance patients.METHODS：Clinical trials on indications of XNJ were searched systematically,and clinical evidence that XNJ was applied for different indications were collected and classified.A questionnaire survey was carried out in 20 medical institutions to find out the doctors＇ attitude and prescribing practice relating to indications,application indications,usage and dosage,timing of application and drug combination of XNJ.The results of above 2 kinds of studies were provided to a group of experts to reach consensus about guideline of XNJ.RESULTS：Guidelines of XNJ,which contained the application indications,timing of medication,dosage,treatment course and drug combination,were developed.The strength and degree of evidence were labeled for each items of recommendation.CONCLUSION：For drugs with low-quality clinical evidence,guideline should be developed according to experts＇ consensus which is based on evidence-based medicine.

关 键 词：醒脑静 专家共识 循证医学 用药指南 医疗保险 

分 类 号：R95[医药卫生—药学] R917