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我院213例药品不良反应报告分析
Analysis of 213 Adverse Drug Reactions Cases in Our Hospital
  
DOI:
中文关键词:  药品不良反应  报告  用药监测  安全用药
英文关键词:Adverse drug reaction  Report  Drug monitoring  Safety use of drug
基金项目:
作者单位
张凯军 陈永刚 王艳明 ①新疆维吾尔自治区博尔塔拉蒙古自治州人民医院药剂科(新疆博乐 833400)武汉市第三医院药学部 
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中文摘要:
      摘 要 目的:探讨我院药物不良反应(ADR)发生特点,为临床合理用药提供参考。方法:收集我院2012~2015年上报至国家ADR监测中心的213例ADR报告,采用回顾性分析方法对ADR报告中的患者因素(性别、年龄、民族)、用药因素(药品种类、给药途径),以及ADR类型、临床表现、转归等进行统计分析,并进行关联性评价。结果:213例ADR报告中,≥60岁老年患者呈高构成比(28.64%);男女患者比为1.39∶1,其中汉族、维族构成比较高(52.58%和32.40%);静脉给药是引起ADR主要给药途径(70.42%);抗感染药物的ADR构成比最高(27.23%),其次为中成药、循环系统药;ADR临床表现以皮肤及其附件损害最常见。 结论:药物ADR的发生与多种因素有关,应加强药品ADR监测及持续改进工作,促进临床安全用药。
英文摘要:
      ABSTRACT Objective:To study the characteristics of adverse drug reactions (ADR) in the hospital, in order to provide reference for rational drug use in the clinic. Methods:A total of 213 ADR were collected form the National center for ADR monitoring network platform form 2012 to 2015. Retrospective analysis was conducted to collect the patients factors(gender, age,nationality), medication factors(drug category ,route of medication), and the type of ADR,clinical manifestation,outcome were given statistic analysis and Relevance evaluation.Results:Among the 213 ADR reports, patients over 60 had higher incidences of ADRs (28.64%);the incidence of ADR was higher in women with the ratio of female to male was 1.39∶1, and the Han nationality and Uighurian owned a higher incidences of ADRs (52.58% and 32.40%, respectively);Intravenous drip caused the highest percentage of ADR (70.42%); The antimicrobial drugs was the top of the ADR inducing drugs(27.23%), followed the traditional Chinese medicine preparation and circulation system drugs; Clinical features of ADRs were dominated by damages of skin and appendages. Conclusion:The occurrence of ADR was correlated with multiple factors, great importance should be attached to ADR monitoring and continuous improvement so as to promote the rational drug use to keep the medication safety.
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