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国际临床研究杂志

International Journal of Clinical Research

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International Journal of Clinical Research. 2024; 8: (8) ; 10.12208/j.ijcr.20240314 .

Evaluation of the whole-process management effect of rivaroxaban for nonvalvular atrial fibrillation based on evidence-based pharmacy
基于循证药学对利伐沙班用于非瓣膜性心房颤动的全程管理效果评价

作者: 沈晓燕 *

南京市江宁医院 江苏南京

*通讯作者: 沈晓燕,单位:南京市江宁医院 江苏南京;

引用本文: 沈晓燕 基于循证药学对利伐沙班用于非瓣膜性心房颤动的全程管理效果评价[J]. 国际临床研究杂志, 2024; 8: (8) : 108-110.
Published: 2024/8/23 7:01:43

摘要

目的 观察分析基于循证药学在利伐沙班用于非瓣膜性心房颤动的全程管理效果评价。方法 纳入2023年1月至2023年12月期间接受利伐沙班治疗非瓣膜性心房颤动患者为样本,共计人数80例,依据对比实验原理将所有人员以1:1比例分成两组,一组作为对照组实施常规治疗,另一组作为观察组应用基于循证药学的全程管理措施进行干预,整理归纳不同干预后两组患者相关数据指标,观察对比差异表现,验证临床价值。结果 观察组患者栓塞事件发生率、出血事件发生率、医保人均支付费用均优于对照组,实施统计学分析对比获得P值均可见<0.05标准,有可比性。结论 非瓣膜性心房颤动患者采纳基于循证药学的全程管理措施进行干预有利于控制栓塞事件发生率、出血事件发生率,有效性、安全性更佳,同时显示出一定经济学价值,值得普及推广。

关键词: 基于循证药学全程管理;利伐沙班;非瓣膜性心房颤动

Abstract

Objective: The observation analysis is based on the evaluation of evidence-based pharmacy in rivaroxaban for non-valvular atrial fibrillation.
Methods: In January 2023 in December 2,2023, all the staff with 1:1 ratio into two groups, one as the control group, the other group as the whole management measures based on evidence-based pharmacy intervention, summarize the relevant data of the two groups after different intervention, observe the difference performance, verify the clinical value.
Results: The incidence of embolic events, bleeding events and per capita expenses of patients in the observation group were better than those in the control group, and the P values obtained by statistical analysis were <0.05, which was comparable.
Conclusion  : Patients with non-valvular atrial fibrillation adopt whole-process management measures based on evidence-based pharmacy for intervention is conducive to controlling the incidence of embolic events and bleeding events, with better effectiveness and safety, and showing certain economic value, which is worth popularizing and popularizing.

Key words: Full evidence-based pharmacy management; Rivaroxaban; Non-valvular atrial fibrillation

参考文献 References

[1] 陈国梅,孙洁,陈蓉.基于循证药学对利伐沙班用于非瓣膜性心房颤动的全程管理效果评价[J].医药导报. 2023(10):1566-1571.

[2] 刘艳霞,李静,刘岩.综合管理在高龄非瓣膜性心房颤动患者抗凝治疗管理中应用价值临床[J].军医杂志. 2023(10):1096-1097+1100.

[3] 李皓洋,张蓓,吴江.我国社区非瓣膜性心房颤动患者抗凝治疗的管理现状[J].医学信息 . 2023(07):180-183.

[4] 周亭,叶征,史玲.利伐沙班对不同BMI非瓣膜性心房颤动患者抗凝治疗的有效性及安全性[J].上海医药. 2023(18):15-19.

[5] 单毅,陈莉,周良.低剂量利伐沙班对老年非瓣膜性心房颤动患者的血栓栓塞与出血事件及再入院率的影响[J].中国临床保健杂志 . 2023(03):332-337.

[6] 韩爽,赵兴山,张威.非瓣膜性心房颤动患者应用利伐沙班剂量和效果的研究现状概述[J].中国医药. 2022(11):1721-1724.

[7] 董权平,黄远波,王善花.利伐沙班或华法林治疗非瓣膜性心房颤动发生消化道出血的影响因素分析[J].中国新药与临床杂志. 2022(07):426-430.

[8] 王栓,黄灿,齐腊梅.基于马尔科夫模型非瓣膜性心房颤动治疗策略的药物经济学评价[J].中国药物经济学 . 2022(08):39-44.

[9] 唐学弘,王文斌,程国杰.利伐沙班与达比加群用于非瓣膜性心房颤动患者卒中预防的效果比较[J].中华保健医学杂志. 2020(03):144-146.

[10] 吴宣,许雪清,汪家淑.不同剂量利伐沙班与华法林对高龄非瓣膜性心房颤动患者的抗凝治疗效果及安全性比较[J].中国当代医药. 2021(03):90-94.