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我院322例药品不良反应报告回顾性分析
Retrospective Analysis of 322 ADR Reports in our Hospital
  
DOI:
中文关键词:  药品不良反应  监测  报告  药物警戒
英文关键词:Adverse drug reaction  Monitoring  Report  Pharmacovigilance
基金项目:
作者单位
王丽 玉溪市人民医院药学部(云南玉溪 653100) 
何琴 玉溪市人民医院药学部 
张松 玉溪市人民医院药学部 
周媛 玉溪市人民医院药学部 
马悦 玉溪市人民医院药学部 
高艳 玉溪市人民医院药学部 
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中文摘要:
      摘 要 目的:了解我院药品不良反应(ADR)发生的特点,为临床合理用药提供参考。方法:对我院2013年收集上报的有效ADR报告322例按患者性别、年龄、给药途径、药物种类、ADR累及器官和系统、临床表现、转归、上报人职业等进行统计、分析。结果:322例ADR中,男174例,女148例,男女比例1.18∶1;静脉滴注为ADR发生的主要途径(90.96%),其次为口服给药(4.66%);上报人群以医生为主,共191例(59.32%),其次护士122例(37.89%);以药物种类计抗感染药物致ADR最多,共132例(36.16%),其次是抗病毒药34例(9.32%);ADR临床表现以皮肤及其附件损害最多,共170例(40.48%)。结论:应重视ADR的监测和宣传工作,降低ADR的发生率,促进临床合理用药,保障患者用药安全。
英文摘要:
      ABSTRACT Objective:To study the characteristic of the adverse drug reactions (ADRs) in our hospital, provide references for rational drug use in clinics.Methods: 322 ADRs reports were collected from our hospital in 2013, which were analyzed statistically in respect patients' age and sex, routes of administration, drugs categories, organs and systems involved ,clinical manifestation, consequence and prognosis and report the occupational. Results:Among the 322 ADRs cases, 174 cases were male and 148 cases were female, male to female ratio is 1.18∶1. intravenous administration had the highest incidence of ADRs(90.96%),followed by oral drugs (4.66%).There were 191 cases (59.32%)reported by doctors, 122 cases (37.89%) reported by nurses.The top two drugs caused most ADRs were antimicrobial agents (132 csaes,36.16%)and antiviral drugs (34 cases,9.32%) .The lesions of skin and its appendants were the most common presentations of ADR,which appeared in 170(40.48%) cases.Conclusion:We should pay attention to ADRs monitoring and propaganda work, reduce the incidence of ADRs, and promote the clinical rational drug use, to ensure the safety of patients with medication.
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