注射用丹参多酚酸盐的临床应用综合评价

韩晟, 赵熙子, 史录文, 林丽开, 李大魁, 陈凯先, 宣利江, 马传江, 马海英, 方唯一, 王丽霞, 文爱东, 付秀娟, 左燕, 刘小玲, 刘向红, 刘国强, 朱珠, 陈万生, 陈维红, 吴方建, 吴玉波, 吴晖, 张伟, 张毕奎, 林慧, 周国华, 欧阳荣, 胡元会, 姜明燕, 赵春景, 贾乐川, 晋月萍, 唐洪梅, 曹俊岭, 梁春, 商洪才, 董占军, 董吁钢, 翟所迪

中国药学杂志 ›› 2021, Vol. 56 ›› Issue (6) : 507-514.

PDF(1277 KB)
PDF(1277 KB)
中国药学杂志 ›› 2021, Vol. 56 ›› Issue (6) : 507-514. DOI: 10.11669/cpj.2021.06.013
论著

注射用丹参多酚酸盐的临床应用综合评价

  • 韩晟1, 赵熙子1, 史录文1*, 林丽开2, 李大魁3, 陈凯先4, 宣利江4, 马传江5, 马海英6, 方唯一7, 王丽霞8, 文爱东9, 付秀娟10, 左燕11, 刘小玲12, 刘向红13, 刘国强14, 朱珠3, 陈万生15, 陈维红16, 吴方建17, 吴玉波18, 吴晖19, 张伟20, 张毕奎21, 林慧22, 周国华23, 欧阳荣24, 胡元会8, 姜明燕25, 赵春景26, 贾乐川27, 晋月萍28, 唐洪梅29, 曹俊岭30, 梁春15, 商洪才31, 董占军32, 董吁钢33, 翟所迪34
作者信息 +

Clinical Application Evaluation of Salvia Miltiorrhiza Depside Salts for Injection

  • HAN Sheng1, ZHAO Xi-zi1, SHI Lu-wen1*, LIN Li-kai2, LI Da-kui3, CHEN Kai-xian4, XUAN Li-jiang4, MA Chuan-jiang5, MA Hai-ying6, FANG Wei-yi7, WANG Li-xia8, WEN Ai-dong9, FU Xiu-juan10, ZUO Yan11, LIU Xiao-ling12, LIU Xiang-hong13, LIU Guo-qiang14, ZHU Zhu3, CHEN Wan-sheng15, CHEN Wei-hong16, WU Fang-jian17, WU Yu-bo18, WU Hui19, ZHANG Wei20, ZHANG Bi-kui21, LIN Hui22, ZHOU Guo-hua23, OUYANG Rong24, HU Yuan-hui8, JIANG Ming-yan25, ZHAO Chun-jing26, JIA Le-chuan27, JIN Yue-ping28, TANG Hong-mei29, CAO Jun-ling30, LIANG Chun15, SHANG Hong-cai31, DONG Zhan-jun32, DONG Yu-gang33, ZHAI Suo-di34
Author information +
文章历史 +

摘要

目的 以注射用丹参多酚酸盐为例,探索中药注射剂临床应用的综合评价方法,为今后相关工作的开展和完善提供参考。方法 通过文献检索和获取相关文献资料,从有效性、安全性、经济性、顺应性和标签信息等方面对注射用丹参多酚酸盐进行系统综合评价。结果 除说明书适应证外,丹参多酚酸盐在心血管疾病、脑血管疾病等多种超说明书适应证中都存在具有一定质量的临床研究证据;在安全性、经济性方面的文献证据较为丰富。结论 注射用丹参多酚酸盐在有效性、安全性及经济性等方面的临床研究证据较多,且具有一定的体系。但作为一个临床应用大品种,该药依然需要在一些方面做出更多的研究努力。

Abstract

OBJECTIVE To take Salvia Miltiorrhiza depside salts for injection as an example, to explore the comprehensive clinical application evaluation method of traditional Chinese medicine injection, and to provide reference for the development and improvement of related work in the future. METHODS Through literature search and obtaining relevant literature information, systematically evaluate Salvia Miltiorrhiza depside salts for injection from the aspects of effectiveness, safety, pharmacoeconomics,compliance and label information. RESULTS In addition to the indications in the instructions, Danshen polyphenolate has considerable amount of high-quality clinical research evidence in cardiovascular disease, cerebrovascular disease and other over-indication indications.The literature evidence is also abundant in terms of safety and pharmacoeconomics. CONCLUSION The Salvia Miltiorrhiza depside salts for injection has plentiful and systematic clinical research evidence in terms of effectiveness, safety and pharmacoeconomics.However, as a large variety drug of clinical applications, itstill needs to make more research efforts in some aspects.

关键词

丹参酚酸B镁 / 药品综合评价 / 中药注射剂 / 有效性 / 安全性

Key words

magnesium lithospermate B / comprehensive drug evaluation / traditional Chinese medicine injection / effectiveness / safety

引用本文

导出引用
韩晟, 赵熙子, 史录文, 林丽开, 李大魁, 陈凯先, 宣利江, 马传江, 马海英, 方唯一, 王丽霞, 文爱东, 付秀娟, 左燕, 刘小玲, 刘向红, 刘国强, 朱珠, 陈万生, 陈维红, 吴方建, 吴玉波, 吴晖, 张伟, 张毕奎, 林慧, 周国华, 欧阳荣, 胡元会, 姜明燕, 赵春景, 贾乐川, 晋月萍, 唐洪梅, 曹俊岭, 梁春, 商洪才, 董占军, 董吁钢, 翟所迪. 注射用丹参多酚酸盐的临床应用综合评价[J]. 中国药学杂志, 2021, 56(6): 507-514 https://doi.org/10.11669/cpj.2021.06.013
HAN Sheng, ZHAO Xi-zi, SHI Lu-wen, LIN Li-kai, LI Da-kui, CHEN Kai-xian, XUAN Li-jiang, MA Chuan-jiang, MA Hai-ying, FANG Wei-yi, WANG Li-xia, WEN Ai-dong, FU Xiu-juan, ZUO Yan, LIU Xiao-ling, LIU Xiang-hong, LIU Guo-qiang, ZHU Zhu, CHEN Wan-sheng, CHEN Wei-hong, WU Fang-jian, WU Yu-bo, WU Hui, ZHANG Wei, ZHANG Bi-kui, LIN Hui, ZHOU Guo-hua, OUYANG Rong, HU Yuan-hui, JIANG Ming-yan, ZHAO Chun-jing, JIA Le-chuan, JIN Yue-ping, TANG Hong-mei, CAO Jun-ling, LIANG Chun, SHANG Hong-cai, DONG Zhan-jun, DONG Yu-gang, ZHAI Suo-di. Clinical Application Evaluation of Salvia Miltiorrhiza Depside Salts for Injection[J]. Chinese Pharmaceutical Journal, 2021, 56(6): 507-514 https://doi.org/10.11669/cpj.2021.06.013
中图分类号: R969.3   

参考文献

[1] WANG Y P, XUAN L J. Demonstrative achievement of modernization of traditional Chinese medicine——research and development of Salvia Miltiorrhiza Polyphenolate and Salvia Miltiorrhiza Polyphenolate for Injection[J]. Bull Chin Acade Sci(中国科学院院刊), 2005,(5):31-34.
[2] ZHANG J H, SUN X. Evidence-based Chinese Medicine(循证中医药学)[M]. Shanghai: Shanghai Science and Technology Press, 2018:184-186.
[3] SHI L W, ZHU W T, WU J, et al. Technical Handbook of Pharmacoeconomic Evaluation of Chinese Patent Medicine(中成药药物经济学评价技术手册)[M]. Beijing: Peking Union Medical College Press, 2019: Preface.
[4] YAN Y, YANG Y H, WANG W W, et al. Post-marketing safety surveillance of the Salvia Miltiorrhiza Depside Salt for Infusion: a real world study[J]. PLoS One, 2017, 12 (1):e0170182.
[5] CAO X F, KONG F F. Analysis of 36 cases of adverse reactions of Salvia Miltiorrhiza Polyphenolate for Injection[J]. J Clin Ratio Use(临床合理用药杂志), 2018, 11(1):129-130.
[6] YU Y X, WANG C, LIU G H. Summary of the literature on adverse reactions of Salvia Miltiorrhiza Polyphenolate for Injection[J]. Chin J Drug Abuse Prev Treat(中国药物滥用防治杂志), 2017, 23(2):115+118.
[7] LIAO X J, YAN M, DENG Y H, et al. A case of adverse reaction caused by injection of Salvia Miltiorrhiza Polyphenolate[J]. China Pharm(中国药师), 2016, 19(6):1142-1143.
[8] ZHU Y X, SUN X Z, LI C H. 2 Cases of adverse reaction of Salvia Miltiorrhiza Polyphenolate for Injection[J]. J North Pharm (北方药学), 2015, 12(10):112-113.
[9] ZHAO C, WANG Q. Salvia Miltiorrhiza Polyphenolate for Injection in the treatment of chest paralysis[J]. Jilin Tradit Chin Med(吉林中医药), 2010, 30(7):615.
[10] DOU F, QIAO Y, HU D M, et al. A case of high fever and chills caused by Injection of Salvia Miltiorrhiza Polyphenolate in coronary heart disease[J]. China Pharm(中国药师), 2018, 21(3):466-467.
[11] TIAN L L, ZHOU T R, WU J, et al. A case of adverse reaction caused by Injection of Salvia Miltiorrhiza Polyphenolate[J]. Chin J Pharmacoepidemiol(药物流行病学杂志), 2015, 24(9):566-567.
[12] LI H. A case of skin rash caused by Injection of Salvia Miltiorrhiza Polyphenolate[J]. Chin J Pharmacoepidemiol(药物流行病学杂志), 2011, 20(1):41.
[13] KONG F F, SHEN J, GUO L J, et al. A case of skin allergy caused by unreasonable application of Salvia Miltiorrhiza Polyphenolate for Injection[J]. China Med(中国医药), 2014, 9(9):1392-1392.
[14] YAN J Q. Observing the clinical efficacy and safety of Salvia Miltiorrhiza Polyphenolate Injection in the treatment of coronary heart disease[J]. Guide Health Care(养生保健指南), 2019, (9):67.
[15] CAO H Y, ZHOU H. Observation of the clinical efficacy and safety of Salvia Miltiorrhiza Polyphenolate Injection in the treatment of coronary heart disease[J]. World Latest Med Inf(世界最新医学信息文摘), 2019, 19(77):174-175.
[16] GUAN Y, LIU B, LIAO X J. A systematic review of the effectiveness and safety of Salvia Miltiorrhiza Polyphenolate in the treatment of unstable angina pectoris[J]. Guide China Med(中国医药指南), 2013, 11(19):50-52.
[17] TAO J. The clinical efficacy and safety of Salvia Miltiorrhiza Polyphenolate in the treatment of coronary heart disease[J]. Diet & Health Care(饮食保健), 2019, 6(1):88.
[18] GUO Y, TIAN J W, XUE Q, et al. The clinical efficacy and safety of Salvia Miltiorrhiza Polyphenolate in the treatment of coronary heart disease[J]. Health Vision(健康大视野), 2018, (10):40.
[19] TIAN L, ZHOU L, YU W M, et al. Clinical efficacy and safety of Salvia Miltiorrhiza Polyphenolate in the treatment of coronary heart disease[J]. Home Med Med(家庭医药), 2017, (10):75-76.
[20] HE X, LU S W, GUO J Y. The clinical efficacy and safety of Salvia Miltiorrhiza Polyphenolate in the treatment of coronary heart disease[J]. Chin J Clin Pharmacol(中国临床药理学杂志), 2016, 32(2):105-107.
[21] WANG C H. Efficacy and safety analysis of Salvia Miltiorrhiza Polyphenolate in patients with coronary heart disease[J]. China Mod Med Appl(中国现代药物应用), 2019, 13(10):85-86.
[22] GUO H F. Efficacy and safety analysis of Salvia Miltiorrhiza Polyphenolate (for Injection) in the treatment of elderly patients with coronary heart disease and angina pectoris[J]. Elec J Clin Med Liter(临床医药文献电子杂志), 2018, 5(93):36-37.
[23] WANG Y P, XUAN L J. Research and development of Salvia Miltiorrhiza Polyphenolate and Salvia Miltiorrhiza Polyphenolate for Injection, a model achievement of the modernization of traditional Chinese medicine[J]. Bull Chin Acade Sci(中国科学院院刊), 2005(5):31-34.
[24] MIAO Y, GAO Z Y, XU F Q, et al. Clinical study of Salvia Miltiorrhiza Polyphenolate in the treatment of coronary heart disease angina pectoris (heart blood stasis syndrome)[J]. Chin New Drugs Clin Pharm(中药新药与临床药理), 2006(2):140-144 .
[25] CHEN X L. Efficacy analysis of Salvia Miltiorrhiza Polyphenolate Combined with Trimetazidine Capsules in the treatment of angina pectoris of coronary heart disease[J]. Mod Pract Med(现代实用医学), 2018, 30(10):1368-1370.
[26] XIAO P U, MA C, WANG W W, et al. Efficacy and safety of Salvia Miltiorrhiza Polyphenolate for Injection in the treatment of coronary heart disease and angina pectoris (heart blood stasis syndrome)[J]. Cardiovascular Dis J Integrated Tradit Chin West Med(Ed)(中西医结合心血管病电子杂志), 2016, 4 (23):133,135.
[27] SHEN W, OU Y, SUN S J, et al. Single-center, randomized controlled trial of Salvia Miltiorrhiza Polyphenolate in the treatment of PCI-related myocardial injury during perioperative coronary intervention [J]. Chin J Integr Tradit Chin West Med(中国中西医结合杂志), 2019, 39(4):412-417.
[28] LIN Y C, YU Z S. The effect of Salvia Miltiorrhiza Polyphenolate adjuvant therapy on the levels of platelet membrane glycoprotein CD62p and CD63 in patients with acute coronary syndrome and the observation of the therapeutic effect[J]. China Pharm(中国药师), 2016, 19(12):2335-2336,2338.
[29] SHI Q, CHENG K, TIAN J Y.Effects of Salvia Miltiorrhiza Polyphenolate Combined with clopidogrel on cardiac function, endothelial function and inflammatory factors in patients with acute coronary syndrome[J]. Cardiovascular Dis J Int(中西医结合心血管病杂志), 2017, 15 (23):3026-3029.
[30] WANG Y. Analysis of the efficacy of Salvia Miltiorrhiza Polyphenols in patients with acute myocardial infarction[J]. Chin J Hemor(中国血液流变学杂志), 2012, 22(4):590-591.
[31] CUI H, LI X Y, GAO X W, et al. A prospective randomized multicenter controlled trial on salvianolate for treatment of unstable angina pectoris in a Chinese elderly population[J]. Chin J Integ Med(中国结合医学杂志), 2019, 25(10):728-735.
[32] XUE L, OU S L, BAO H G, et al. Efficacy observation of Salvia Miltiorrhiza Polyphenolate in the treatment of unstable angina pectoris[J]. Chin J Evid Base Cardiovascular Med(中国循证心血管医学杂志), 2017, 9(7):851-853.
[33] LI X G, ZHAO J. Effects of Salvia Miltiorrhiza Polyphenolate Combined with western medicine on cardiac function and inflammatory factor levels in patients with chronic heart failure[J]. Clin Res Pract(临床医学研究与实践), 2018, 3(2):7-8,11.
[34] SHANG J, QU L G, GE L J. Efficacy of creatine phosphate combined with Salvia Miltiorrhiza Polyphenolate in the treatment of coronary heart disease and heart failure[J]. J North Pharm(北方药学), 2014, 11(12):74-75.
[35] LIN N B, ZHENG W H, LIN Y H. Efficacy of creatine phosphate sodium combined with Salvia Miltiorrhiza Polyphenolate in the treatment of coronary heart disease and heart failure[J]. Strait Pharm J(海峡药学), 2017, 29(12):189-190.
[36] WU S X. The clinical efficacy of Salvia Miltiorrhiza Polyphenolate Combined with edaravone in the treatment of acute ischemic stroke[J]. Orien Food Ther Health Care(东方食疗与保健), 2017(3).
[37] LIN Y, PENG H F. The clinical efficacy of injection salvia polyphenolate in the treatment of acute cerebral infarction[J]. Chin J Clin Ration Drug Use(临床合理用药杂志), 2018, 11(36):51-53.
[38] ZHAO L Y, LONG H X, ZHAO J, et al. Efficacy of Salvia Miltiorrhiza Polyphenolate Combined with butylphthalide in the treatment of acute cerebral infarction and its influence on hemorheology[J]. Cardiovascular Dis J Int(中西医结合心脑血管病杂志), 2018, 16(18): 2757-2759.
[39] PAN Y X, CHEN J, ZHONG S S, et al. A comparative study of Salvia Miltiorrhiza Polyphenolate Combined with aspirin in the treatment of acute cerebral infarction[J]. J Clin Psychosomatic Dis(临床心身疾病杂志), 2016, 22(1): 13-14.
[40] LUO X D, YANG K J, H Z W, et al. Efficacy of Salvia Miltiorrhiza Polyphenolate Combined with conventional treatment of acute cerebral infarction and its effect on serum interleukin-6[J]. China Pharm(中国药师), 2017, 20(8):1403-1405.
[41] CHEN J, ZHOU H Z, WANG Y L, et al. Effects of Salvia Miltiorrhiza Polyphenolate Combined with losartan potassium on related factors of elderly diabetic nephropathy[J]. West Med (西部医学), 2018, 30(10):1451-1455,1461.
[42] ZHANAG W S. Clinical efficacy of atorvastatin combined with Salvia Miltiorrhiza Polyphenols in the treatment of chronic obstructive pulmonary with pulmonary hypertension[J]. Inner Mongo Med J(内蒙古医学杂志), 2019, 51(4):439-440.
[43] JIANG X Y. Clinical study of Salvia Miltiorrhiza Polyphenolate Injection in the treatment of ischemic colitis[J]. Chin Med Sci(中国医药科学), 2018, 8(24):42-44.
[44] LIU J L, GUO Y J, MENG F S, et al. Clinical efficacy of Salvia Miltiorrhiza Polyphenolate Combined with low molecular weight heparin calcium in the treatment of ICU patients with qi stagnation and blood stasis type deep vein thrombosis of lower extremities[J]. J Guangzhou Univ Tradit Chin Med(广州中医药大学学报), 2019, 36(2):192-196.
[45] ZHAO Y, YANG C S, TIAN C. Clinical study of Salvia Miltiorrhiza Polyphenolate Combined with mouse nerve growth factor in the treatment of spinal cord injury[J]. China Pharm(中国药业), 2018, 27(22):62-65.
[46] YANG W B. Minimum cost analysis of 3 kinds of Danshen compound preparations in the treatment of coronary heart disease and angina pectoris[J]. J China Pharm(中国药房), 2012, 23(38):3557-3559.
[47] LI J, YANG Q, DONG J, et al. Clinical efficacy and cost-effectiveness analysis of three regimens in the treatment of coronary heart disease and angina pectoris[J]. Cardiovascular Dis J Int(中西医结合心脑血管病杂志), 2016, 14(22):2664-2666.
[48] ZHANG Y F, QIN Z L, LIU J, et al. Pharmacoeconomics study of 4 kinds of Danshen preparations in the treatment of coronary heart disease and angina pectoris[J]. Chongqing Med J(重庆医学), 2016, 45(8):1081-1083.
[49] SHI Y F, YAN H, SUN S G, et al. Systematic review and pharmacoeconomic analysis of two Danshen Chinese medicine injections in the treatment of coronary heart disease and angina pectoris[J]. Chin J Evid Base Med(中国循证医学杂志), 2014, 14(3):287-291.
[50] DONG P X, FAN D, HAN S, et al. Evidence-based pharmacoeconomics study of Salvia Miltiorrhiza Polyphenolate for Injection in the treatment of unstable angina pectoris[J]. Drug Eval(药品评价), 2016, 13(20):18-21,30.
[51] FENG S, HU M. Pharmaccoeconomic evaluation of Danshen Ligustrazine Injection vs Danshen Polyphenolate Injection in the treatment of coronary heart disease and angina pectoris[J]. J Pharm Pract(药学实践杂志), 2018, 36(2):147-155.
[52] DONG P X, HU H, GUAN X D, et al. Cost-consequence analysis of salvianolate injection for the treatment of coronary heart disease[J]. Chin Med, 2018, 13:[2021-03-17]. https://11doi.org.10.11861513020-018-0185-x.
[53] XIAO J, HU M. Clinical efficacy and pharmacoeconomic evaluation of Danshen ligustrazine injection compared with Danshen polyphenolate injection in the treatment of cerebral infarction[J]. Chin J Evid Base Cardiov Med(中国循证心血管医学杂志), 2016, 8(10):1171-1176.
[54] LIU J. Cost-effectiveness analysis of traditional Chinese medicine injection in the treatment of acute cerebral infarction[J]. Tianjin Pharm(天津药学), 2016, 28(3):8-10.
[55] ZHANG Z Q. Pharmaccoeconomic analysis of different Danshen preparations in the treatment of ischemic stroke[J]. China's Naturopathy(中国民间疗法), 2019, 27(9):43-44.
[56] LI P J, ZHAO Y M. Analysis of the drug application of Salvia Miltiorrhiza and its active ingredients in our hospital from 2011 to 2013[J]. China Mod Med Appl(中国现代药物应用), 2014(11):178-181.
[57] YANG L L, DUO D L, YAN Y J, et al. Analysis of the application of traditional Chinese medicine injections in our hospital from 2015 to 2017[J]. Chin J Clin Rational Drug Use(临床合理用药杂志), 2019(19):7-8.
PDF(1277 KB)

Accesses

Citation

Detail

段落导航
相关文章

/