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我院2008~2011年136例药品不良反应报告分析
Analysis of 136 ADR Cases Reported in our Hospital During 2008-2011
  
DOI:
中文关键词:  药品不良反应  报告  监测  合理用药
英文关键词:Adverse drug reactions  Report  Monitoring  Rational drug use
基金项目:
作者单位
梁柱红 南宁市第八人民医院药剂科(南宁 530001) 
谭颖华 南宁市第八人民医院药剂科(南宁 530001) 
张庆兰 南宁市第八人民医院药剂科(南宁 530001) 
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中文摘要:
      摘 要 目的:分析我院发生药品不良反应(ADR)的主要品种类别,为临床合理用药提供参考,减少ADR的发生。方法:对我院2008~2011年收集的136例ADR报告进行统计分析,列举不良反应的药品主要类别、例数、多发药品及临床表现。结果:136例ADR中,以女性多于男性,≥60岁的患者占41.18%,≤10岁的患者占39.71%;抗菌药和中药制剂在药品种数上稳居前2位。抗菌药引起ADR最为多见,占48.53%,其次是中药制剂,占40.44%;给药途径以静脉给药引起的ADR为主;皮肤及其附件损害最多,占53.68%。结论:应严格按照《抗菌药物临床应用指导原则》合理使用抗菌药,同时应规范中药制剂的临床应用,加强有关中药安全用药知识的普及,从而保障患者用药安全、有效。
英文摘要:
      ABSTRACT Objective:To analyze major varieties of drugs with adverse drug reactions(ADRs) in our hospital to provide reference for clinical rational drug use. Methods:136 ADR cases collected in hospital from 2008 to 2011 were statistically analyzed in respect of number of case,drugs with frequent ADR and clinical manifestation. etc.Results:In the 136 ADR events, the female showed higher proportion than the males, and the senile patients aged ≥60 accounted for about 41.18%, and the patients aged ≤10, for about 39.71%; anti infective drugs and traditional Chinese medicines dominated the first two places stably in terms of number of varieties. The ADRs were more frequently induced by antibiotics(48.53%),followed by traditional Chinese medicine(40.44%); The ADRS were mostly induced by intravenous administration, and lesions of skin and its appendages were the most frequent, accounting for 53.68%. Conclusion:Antibiotics should be rationally used in accordance with the “Guiding Principles of Clinical Use of Antibiotics”; meanwhile, the clinical use of Chinese medicine preparations should be standardized, and popularization of the knowledge of safe use of Chinese medicines should be strengthened in order to ensure safe and effective drug use for patients.
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