摘要
目的:了解我院药品不良反应(ADR)发生特点及引发的相关因素,促进临床安全合理用药。方法:对我院2010年1月1日~12月31日收集的183例ADR报告分别从患者性别和年龄、药品种类和剂型、ADR累及的器官或系统及临床表现等方面进行分类统计分析。结果:183例ADR中,男性比例略高于女性,50岁以上人群发生率最高;涉及的药品有58种,抗肿瘤药居首位(57例,31.5%),其次为抗菌药物(47例,25.68%)及中药注射剂(42例,22.95%);注射剂引起的例数最多;临床表现以血液及造血系统损害(26.19%)、中枢及外周神经系统损害(24.39%)皮肤及附件损害(23.81%)较常见。结论:应重视ADR的监测和报告工作,避免或减少ADR重复发生;合理使用抗菌药物及中成药制剂;合理选择给药途径,尽量采用口服给药,确保临床安全、合理用药。
Objective:To undrestand the characteristics of adverse drug reactions(ADR) and the related tactors initiating the occurrence for their rational use in clinic.Methods:183 cases of ADR were collected from Jan 1.2010 to Dec 31.2010,which Were analyzed in respect of the patient, s age and sex,drug species,failed organs and clinical manifestation .Results:Among the 183 cases,male cases outnumbered the female cases,and ADRs occurred most frequently among the group over 50;ADRs were mainly caused by 58 kinds of drugs,of which anticancer agents occupied the first place(57cases,31.15%),and then anti-infective agents (47 cases,25.68%),traditionat Chianese Medicin(42cases,22.95%);ADRs were chiefly induced by intravenous administration;Clinical manifestation mainly included damage to the hematiopoietic system(26.19%),the nerve system(24.39%),skin and appendixes(23,81%).Conclusion:hnportanee should be attached to teh monitiorng and reporting of ADRs to avoid the repeated occurrence;Anti-infective agents and traditional Chinese Medicine should be used rationally ,More reasonable route of admininistration should be choosed to ensure medication safety and rational drug use.
出处
《中国医药导刊》
2011年第7期1246-1247,共2页
Chinese Journal of Medicinal Guide
关键词
药品不良反应
用药监测
分析
用药安全
Adverse cling reaetioni
Monitoring of clinical
drug useg
Analysis
Medication safety