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183例聚乙二醇干扰素α不良反应的集中监测
Centralized Monitoting of Adverse Reactions in 183 Cases of Patients with Pegylated Interferon α
  
DOI:
中文关键词:  聚乙二醇干扰素α  药物不良反应  集中监测
英文关键词:Pegylated interferon α  Adverse drug reactions  Centralized monitoting
基金项目:武汉药学会医院药学科研项目(编号:武药会201502020)
作者单位
金芬 刘生友 卜学彬 覃为民 钱刚 邓拓 罗甜 钱锦 董丹丹 ①武汉市第七医院( 武汉 430071) 
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中文摘要:
      摘 要 目的:研究聚乙二醇干扰素α(PEG-IFNα)不良反应(ADR)的特点。方法:前瞻性监测某院2014年9月~2015年8月使用PEG-IFNα患者的ADR发生情况。结果:共监测患者183例,男114例,女 69例,期间发生ADR共175例,412例次;大多数患者发生两种以上ADR。外周血细胞下降发生率最高为98.3%, 其次是流感样症状、注射局部反应、甲状腺功能异常等,后几种ADR大多合并外周血细胞下降。监测期间发生严重的ADR 8例(构成比1.9%)。不同性别、体重指数患者间ADR无明显差别,50岁以上年龄患者更易出现明显的外周血细胞下降。结论:PEG-IFNα虽然有较多ADR,但仍是目前治疗慢性病毒性肝炎的一线药物,只要在应用过程中定期监测,发现异常情况及时给予适当处理,一般不会影响抗病毒治疗疗程及效果。
英文摘要:
      ABSTRACT Objective:To study the characteristics of adverse drug reactions(ADRs)of Pegylated Interferon α(PEG-IFNα). Methods:ADRs of PEG-IFNα in the hospital were collected by prospective monitoring from September 2014 to August 2015. Results:There were 183 patients, 114 males and 69 females, 175 of whom had ADRs,412 cases of ADRs,the majority of patients had two or more ADRs during the treatment of PEG-IFNα. The incidence of peripheral blood cells was the highest, up to 98.3%,followed by flu like symptoms, local reaction injection, thyroid dysfunction, etc. Peripheral blood cell decline is often exists in other ADRs at the same time. Severe ADRs were only 8 cases, accounting for 1.9% of the total number of ADRs. There was no significant difference in the gender and BMI of the patients with PEG-IFNα. Over 50 years of age, peripheral blood cells decreased more significantly. Conclusion:Although PEG IFNα had many ADRs, it was still a first line drug for the treatment of chronic viral hepatitis. As long as the regular monitoring, to provide appropriate treatment in time when abnormal conditions were found, generally would not affect the treatment of antiviral treatment and effect.
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