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温州地区2014年上半年药品不良反应报告统计分析
Statistic Analysis on Adverse Drug Reaction of Wenzhou Area in First Half of 2014
  
DOI:
中文关键词:  药品不良反应  报告  抗菌药  中药制剂  静脉给药
英文关键词:Adverse drug reaction  Report  Antibacterial drug  Chinese medicine preparation  Intravenous administration
基金项目:
作者单位
刘文芹 温州医科大学附属第二医院(浙江温州 325000) 
王莹莹 温州医科大学附属第二医院 
李铭铭 温州医科大学附属第三医院 
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中文摘要:
      摘 要 目的:了解温州地区药品不良反应(ADR)发生的规模、流行病学因素等情况。方法:收集2014年1~6 月全市各县(市、区)中心上报的ADR病例报告进行统计分析,分析性别、年龄、ADR类型、药品剂型分布等情况。结果:半年度全市共发生ADR 3 612例,涉及220余家医疗机构;各年龄层均有发生,11~20岁构成比最低,31~40岁和41~50岁构成比最高;3 612例ADR报告中男1 628例,女1 977例;新的和严重ADR 1 133例,占31.36%,死亡病例5例;ADR报告中引起ADR的药品抗菌药(44.43%)和中药制剂(15.20%)所占比例最大;静脉滴注是最主要的给药途径(62.52%);ADR累及全身多个系统,以皮肤及附件损害(37.53%)和消化系统损害(21.63%)最常见。结论:抗菌药和中药制剂ADR高发,需进一步管理抗菌药使用,严格把握静脉给药指征,提高民众对静脉给药安全性的认识。
英文摘要:
      ABSTRACT Objective: To understand the scale, rules, and epidemic disease factor of ADR in the district of Wenzhou city. Methods: Conducted statistical analysis by collecting case reports in all counties (cities, and districts) of whole city and analyzed gender, age, ADR type, and distribution of drug dosage. Results:3 612 cases of ADR happened in the whole city within 6 months, involving more than 220 medical organizations; they happened in all age levels: people aging from 11 to 20 occupied 3.82%, which took account for the lowest proportion; people aging from 31 to 40 and from 41 to 50 occupied 15.67% and 15.06% respectively, which took account for the highest proportion, including 1 628 male cases and 1 977 female cases; there were 1 133 cases of new and serious ADR, which occupied 31.36%, including 5 death cases;Of the 3 612 ADR cases, antibacterial drug (44.43%) ranked the first and followed by the Chinese medicine preparation (15.20%); intravenous drip was the most dangerous drug deliver route; ADR involved multiple systems in body, among which skin and appendix damage (37.53%) and alimentary system damage (21.63%) were the most common ones. Conclusion:ADR in antibacterial drug and Chinese medicine preparation happened frequently. We should take a further step to manage usage of antibiotics, strictly grasp the indication of intravenous administration, and improve the safety understanding of people on intravenous administration.
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