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在门诊实践中消费抗血小板药物的药物流行病学分析
Dariya V Ivanova1,2, Ayrat Usmanovich Ziganshin1, Rustem N Khairullin2
1Department of Pharmacology, Kazan State Medical University, Kazan, Russia.
The International journal of risk & safety in medicine
|December 23, 2025
概括
从2018年到2023年,抗血小板药物消费在门诊环境中显著增加. 乙盐酸和P2Y12受体抑制剂的增加表明,扩大了心血管疾病的使用和更长的治疗持续时间.
科学领域:
- 心脏病学 心脏病学
- 药物经济学 药物经济学
- 公共卫生 公共卫生
背景情况:
- 急性冠状动脉综合征 (ACS) 是死亡的主要原因.
- 抗血小板治疗对于ACS治疗和二次预防至关重要.
研究的目的:
- 分析塔塔斯坦共和国门诊药品市场中抗血小板药物消费情况.
- 为了比较2018年和2023年的消费数据.
主要方法:
- 使用两个主要制药供应商的销售数据进行描述性研究.
- 消费量以毫克和定义的每日剂量 (DDD) 计算.
- 使用单一治疗和双重抗血小板治疗标准疗程剂量评估的治疗覆盖率.
主要成果:
- 总体而言,抗血小板药物消费在2018年至2023年期间显著增加.
- 乙盐酸的消费量翻了一番;克洛皮多格勒的消费量增加了2.5倍.
- 蒂卡格勒和普拉苏格勒的相对增长显著 (分别为3.2和4倍).
- 销售量表明,在注册ACS患者数量中的15.4倍 (2018年) 和35.2倍 (2023年) 的潜在治疗.
结论:
- 门诊患者的抗血小板药物消费明显增加.
- 这一趋势反映了心血管疾病的更广泛的指示和延长的治疗持续时间.
- 可能需要进一步的研究,以使药物供应与患者实际需求保持一致.
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