国家科技部中国科技论文统计源期刊   中国科技核心期刊   WHO西太平洋地区医学索引(WPRIM)收录期刊   湖北优秀期刊
《药物流行病学杂志》官方网站与投审稿系统变更通知<点击查看详情>
70 672例静脉给药致药品不良反应报告分析
Analysis of 70672 ADR Reports That Intravenous Injections Were the Prime Suspect
  
DOI:
中文关键词:  药品不良反应  抗感染药物  抗肿瘤药物  人口分布
英文关键词:Adverse drug reaction  Anti infective agents  Antineoplastic agents  Demography distribution
基金项目:2014 年全军后勤科研重点项目( 编号: BWS14R039)
作者单位
王啸宇郭代红徐元杰马亮 ①解放军医学院(北京 100853)②解放军药品不良反应监测中心 
摘要点击次数: 1355
全文下载次数: 1054
中文摘要:
      摘 要 目的:探索静脉给药致ADR的发生规律,为临床用药风险防控提供参考。方法:采用回顾性研究方法,提取解放军ADR监测中心数据库中2008~2014年158个医疗机构呈报的88 963例静脉给药疑致ADR报告,进行统计分析。结果:经关联性评价,全部报告中有70 672例属ADR,其中严重ADR 4 181例(5.91%),新的ADR 4 382例(6.19%)。全部ADR患者的年龄分布曲线与第六次人口普查数据相似。全部ADR表现中,皮肤及其附件损害所占比例最大(26.04%);抗感染药物ADR报告最多(36.09%);用药后30min内出现ADR者过半(50.78%)。而严重ADR报告中,比例最高的是全身性损害(22.87%);抗肿瘤药物ADR报告最为多见(38.03%);ADR潜伏期以3~7 d占比最高(20.88%)。结论:ADR报告的信息化使围绕大量数据的深入挖掘成为可能,人口学信息对比研究结果表明在一定程度上能够代表整体变化趋势;严重ADR的发生规律具有其自身特点,有必要进行深入解读。
英文摘要:
      ABSTRACT Objective:To investigate the regular pattern of ADR caused by intravenous injections and provide reference for clinical medication risk control.Methods: The ADR reports, which came from 158 network hospitals covered 2008 to 2014, was distilled from PLA ADR monitoring center and analyzed retrospectively. Results: Among the 70 672 ADR reports, 4 181 cases (5.91%) were sever and 4 382 cases (6.19%) were new. Comparing the age distribution and the Six Nationwide Population Census, there was a similar trend in the distribution curve. Of all the ADR reports, skin and appendages disorders were the most frequent ADR (26.04%), and anti infective agents were the most frequent suspected drugs (36.09%), more than half ADR (50.78%) were discovered within 30 mins after the first dose. Of all the sever ADR reports, body as a whole general disorders were the most frequent ADR (22.87%), and anti tumor drugs were the most frequent suspected drugs, the most common incubation period was about 3 days to 7days(20.88%). Conclusion:The electronic management of ADR reports made data mining possible; the data was meaningful in sense of demography, and could indicate the trend of overall variation; rule of sever ADR occurring was unique, and should be deeper mined.
查看全文  查看/发表评论  下载PDF阅读器
关闭