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2011~2013年我院497例药品不良反应报告分析
Analysis of 497 Cases of Adverse Drug Reaction Reports from 2011 to 2013
  
DOI:
中文关键词:  药品不良反应  报告  监测  药物警戒
英文关键词:Adverse drug reaction  Report  Monitor  Pharmacovigilance
基金项目:
作者单位
樊国斌 李素娟 沈钦华 ①武汉市东西湖区人民医院药剂科(武汉 430040)。 
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中文摘要:
      摘 要 目的:分析我院药品不良反应(ADR)发生的特点和报告质量,促进临床安全用药。方法:采用回顾性分析方法,对我院2011~2013年收集的497例ADR报告按患者的性别、年龄、药物过敏史、给药途径、ADR报告分级、药品种类、临床表现、关联性评价等情况进行统计分析。结果:497例ADR报告中,由抗感染药物引起的ADR占50.10%(249/497),中药制剂引起的ADR占15.09%(75/497);ADR的表现以皮肤及其附件的损害最为常见,占50.84%(302/594);497例ADR中,新的ADR 27例,严重的ADR 15例,新的、严重的ADR报告数较少;严重ADR的表现以过敏性休克居多。结论:应加大ADR的监测力度,提高ADR报告质量,加强药物的合理使用,减少或避免ADR的发生。
英文摘要:
      ABSTRACT Objective: To analyze the characteristics of adverse drug reaction(ADR)and the quality of the ADR reporting in our hospital so as to promote clinical rational use of drugs. Methods:Based on retrospective analysis, a total of 497 ADR cases in our hospital from 2011 to 2013 were analyzed statistically in terms of patient’s gender and age, history of drug allergy, route of administration, the grade,categories of drugs, clinical manifestations, evaluation of relevance. Results:Of the total 497 cases, anti infective drugs induced ADR cases took the lead with 50.10%(249/497)followed by Chinese patent medicine induced ADR cases[15.09%(75/497)]. The ADR manifested mostly as damage of skin and appendants[50.84%(302/594)]. Of the total 497 ADR cases, 27 were new ADR cases and 15 were serious ADR cases.There were less new or serious ADR cases. The serious ADR manifested mostly as anaphylactic shock. Conclusion:Great importance should be attached to ADR monitoring and the quality of ADR reports and use of drugs should be strengthened in order to reduce or avoid occurrence of ADR.
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