血脂管理与中国医保

汪朝晖, 廖玉华. 血脂管理与中国医保[J]. 临床心血管病杂志, 2023, 39(9): 661-663. doi: 10.13201/j.issn.1001-1439.2023.09.002
引用本文: 汪朝晖, 廖玉华. 血脂管理与中国医保[J]. 临床心血管病杂志, 2023, 39(9): 661-663. doi: 10.13201/j.issn.1001-1439.2023.09.002
WANG Zhaohui, LIAO Yuhua. Lipid management and Chinese medical insurance[J]. J Clin Cardiol, 2023, 39(9): 661-663. doi: 10.13201/j.issn.1001-1439.2023.09.002
Citation: WANG Zhaohui, LIAO Yuhua. Lipid management and Chinese medical insurance[J]. J Clin Cardiol, 2023, 39(9): 661-663. doi: 10.13201/j.issn.1001-1439.2023.09.002

血脂管理与中国医保

详细信息

Lipid management and Chinese medical insurance

More Information
  • 近期,《中国血脂管理指南(2023)》公开发表,对动脉粥样硬化性心血管疾病(ASCVD)患者的血脂管理尤其是低密度脂蛋白胆固醇(LDL-C)水平提出了更严格的目标值和更精准的分层管理策略,多种降脂药物的联合治疗是分层管理血脂达标的有效措施。多年来降脂药物主要为原研进口,价格居高不下。近5年,国家医保局通过实施药品集中带量采购、医保国谈、国谈药“双通道”等措施,使降脂药物价格大幅下降,大大提高了ASCVD患者用药的可及性,为ASCVD患者的血脂分层管理提供了重要保障。
  • 加载中
  • [1]

    Sabatine MS, Giugliano RP, Keech AC, et al. Evolocumab andclinical outcomes in patients with cardiovascular disease[J]. N Engl J Med, 2017, 376(18): 1713-1722. doi: 10.1056/NEJMoa1615664

    [2]

    Cannon CP, Blazing MA, Giugliano RP, et al. Ezetimibe added to statin therapy after acute coronary syndromes[J]. N Engl J Med, 2015, 372(25): 2387-2397. doi: 10.1056/NEJMoa1410489

    [3]

    Schwartz GG, Steg PG, Szarek M, et al. Alirocumab and cardiovascular outcomes after acute coronary syndrome[J]. N Engl J Med, 2018, 379(22): 2097-2107. doi: 10.1056/NEJMoa1801174

    [4]

    中国血脂管理指南修订联合专家委员会. 中国血脂管理指南(2023年)[J]. 中国循环杂志, 2023, 38(3): 237-271. doi: 10.3969/j.issn.1000-3614.2023.03.001

    [5]

    Cholesterol Treatment Trialists Collaboration. Efficacy and safety of more intensive lowering of LDL cholesterol: a meta-analysis of data from 170, 000 participants in 26 randomised trials[J]. Lancet, 2010, 376(9753): 1670-1681. doi: 10.1016/S0140-6736(10)61350-5

    [6]

    Cannon CP, Blazing MA, Giugliano RP, et al. Ezetimibe Added to Statin Therapy after Acute Coronary Syndromes[J]. N Engl J Med, 2015, 372(25): 2387-2397. doi: 10.1056/NEJMoa1410489

    [7]

    Scandinavian Simvastatin survival Study Group. Randomised trial of cholesterol lowering in 4444 patients with coronary heart disease: the Scandinavian Simvastatin Survival Study(4S)[J]. Lancet, 1994, 344(8934): 1383-1389.

    [8]

    West of Scotland Coronary Prevention Group. West of Scotland Coronary Prevention Study: identification of high-risk groups and comparison with other cardiovascular intervention trials[J]. Lancet, 1996, 348(9038): 1339-1342. doi: 10.1016/S0140-6736(96)04292-4

    [9]

    LaRosa JC, Grundy SM, Waters DD, et al. Treating to New Targets(TNT)Investigators. Intensive lipid lowering with atorvastatin in patients with stable coronary disease[J]. N Engl J Med, 2005, 352(14): 1425-1435. doi: 10.1056/NEJMoa050461

    [10]

    Wiviott SD, Cannon CP, Morrow DA, et al. Can low-density lipoprotein be too low? The safety and efficacy of achieving very low low-density lipoprotein with intensive statin therapy: a PROVE IT-TIMI 22 substudy[J]. J Am Coll Cardiol, 2005, 46(8): 1411-1416. doi: 10.1016/j.jacc.2005.04.064

    [11]

    Tang M, He J, Chen M, et al. "4+7" city drug volumebased purchasing and using pilot program in China and its impact[J]. Drug Discov Ther, 2019, 13(6): 365-369. doi: 10.5582/ddt.2019.01093

    [12]

    赵耀伟, 王成亮, 闫彬, 等. 以间断时间序列法分析带量采购政策对中标他汀类药物使用影响[J]. 医药导报, 2022, 41(8): 1234-1238.

    [13]

    彭倩雯, 徐斌, 张伟霞. 急性冠脉综合征患者原研与"带量采购"阿托伐他汀钙片疗效和安全性的回顾性比较[J]. 药物流行病学杂志, 2023, 32(4): 361-366. https://www.cnki.com.cn/Article/CJFDTOTAL-YWLX202304001.htm

    [14]

    Gitt AK, Lautsch D, Ferrieres J, et al. Low-density lipoprotein cholesterol in a global cohort of 57, 885 statin-treated patients[J]. Atherosclerosis, 2016, 255: 200-209. doi: 10.1016/j.atherosclerosis.2016.09.004

    [15]

    Sabatine MS, Giugliano RP, Keech AC, et al. Evolocumab and clinical outcomes in patients with cardiovascular disease[J]. N Engl J Med, 2017, 376(18): 1713-1722. doi: 10.1056/NEJMoa1615664

    [16]

    Schwartz GG, Steg PG, Szarek M, et al. Alirocumab and Cardiovascular Outcomes after Acute Coronary Syndrome[J]. N Engl J Med, 2018, 379(22): 2097-2107. doi: 10.1056/NEJMoa1801174

    [17]

    孙焕征, 曹人元, 任今今, 等. 医保国谈药"双通道"管理机制成效与展望[J]. 中国医疗保险[J]. 2023, (1): 12-15. https://www.cnki.com.cn/Article/CJFDTOTAL-YLBX202301002.htm

  • 加载中
计量
  • 文章访问数:  1381
  • PDF下载数:  213
  • 施引文献:  0
出版历程
收稿日期:  2023-08-29
刊出日期:  2023-09-13

目录