302 cases of adverse drug reaction reports
-
摘要: 目的 探讨上海市皮肤病医院药品不良反应(ADR)的特点及规律,为临床合理、安全用药提供依据。 方法 对该院门诊和住院病房2015年9月至2017年9月上报的302例ADR报告采用回顾性分析,对患者性别、年龄、药品种类及构成比、给药途径、ADR累及系统/器官及临床表现等进行统计、汇总和分析。 结果 302例ADR报告中,女性(54.6%)高于男性(45.4%)。抗感染药物ADR居多,占27.8%。引发ADR的给药途径以口服和静脉滴注为主,其构成比分别为70.2%和24.8%。ADR累及系统/器官主要涉及皮肤及其附件损害(61.6%)和消化系统(15.9%)。 结论 ADR的发生与诸多因素有关,临床应重视和加强ADR监测,严格掌握药物使用的适应症,以降低ADR的发生率。Abstract: Objective To study the features, general patterns and predisposing factors of adverse drug reactions (ADR) occurred in our hospital and to provide the guidance for rational and safe use of drugs in clinic. Methods 302 cases of ADR were reported from September 2015 to September 2017 in our hospital. Age distribution, gender, route of administration, drug categories, systems or organs involved, clinical manifestations, adverse reaction types involved in ADRs were analyzed retrospectively. Results Among the 302 ADR reports, 137 cases are male patients (accounting for 45.4%) and 165 cases were female patients (accounting for 54.6%). 27.8% of ADR was related to anti-infective agents. 70.2% of ADR came from oral administration and 24.8% ADR was due to intravenous administration. The main clinical manifestations of ADR were lesion of skin and its appendants (61.6%) and followed by the digestive system injury (15.9%). Conclusion The multiple factors may lead to high frequency of ADR. In order to promote rational drug use and reduce the occurrence of ADR, clinicians should pay attention to the ADR monitoring and strictly follow the clinical indications of medications.
-
Key words:
- adverse drug reaction /
- report /
- analysis /
- rational drug use
-
[1] 陈新谦,金有豫,汤光.新编药物学[M].17版.北京:人民卫生出版社,2011. [2] 徐建东,沈敏,李莹,等. 某院160例药物不良反应报告分析[J]. 重庆医学,2012,41(14):1407-1408. [3] 朱曼,凡超,郭代红,等.军队医院1175例抗感染药物严重药品不良反应/事件报告分析[J].中国药物应用与监测,2015,12(3):163-167. [4] 蒋宇利,冯琳,欧宁,等.2002年我院药品不良反应报告分析[J].中国药房,2003, 14(10):614-616. [5] 吴迪,王真.某院2013-2015年813例ADR报告分析[J]. 中国药房,2017,28(17):2359-2362. [6] 赵启邹,王青,聂彩霞,等.大理市第一人民医院114例药品不良反应报告分析[J]. 中国医院用药评价与分析,2015,15(2):242-244. [7] 徐克明. 中药注射剂不良反应分析及合理应用[J]. 天津中医药,2016,33(7):411-443. [8] 孟祥云,高雷,姜怡,等.某院581例药品不良反应报告分析[J].安徽医药,2015,19(1):199-203.
计量
- 文章访问数: 3686
- HTML全文浏览量: 785
- PDF下载量: 696
- 被引次数: 0