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我院6 382例药品不良反应报告的回顾性分析
Analysis of 6 382 Cases of Adverse Drug Reaction Reports in Our Hospital
  
DOI:
中文关键词:  药品不良反应  报告  回顾性分析
英文关键词:Adverse drug reaction  Report  Retrospective analysis
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作者单位
胡晓蕾 杨雅 李薇 江灏 汤怡然 符佩姝 何菊英 ①第三军医大学第一附属医院药学部(重庆 400038) 
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中文摘要:
      摘 要 目的:分析药品不良反应(ADR)发生特点及规律,为临床安全用药提供参考。方法:对2009~2015年我院收集的共6 382份ADR进行回顾性分析,分别按患者的年龄、性别、给药途径、药品种类、严重程度及ADR临床表现等进行分类统计。结果:6 382例ADR报告的男女患者比例为1∶1.07,41岁以上中老年患者所占比例最高(>60%)。一般的ADR报告数量最多,报告主体为医生(91.21%);静脉用药引发ADR有5 100例(79.91%),单一用药引发占88.55%;ADR主要导致消化系统损害(45.46%);ADR涉及22类药物,肿瘤药物居首位(1 677例,占26.28%);奥沙利铂(34.43%)、氨甲环酸(11.52%)和复方氨基酸(20AA)(9.65%)位列引起ADR的单品种前3位;严重不良反应共104例,以肿瘤药物(36.54%)和抗感染药(25.00%)为主。结论:临床工作中应重视ADR报告与监测,促进安全用药。
英文摘要:
      ABSTRACT Objective:To analyze the characteristics and rules of adverse drug reaction (ADR) and provide references for clinical rational and safe drug use. Methods: 6 382 cases of ADR reports collected from 2009 to 2015 were analyzed retrospectively and statistically. Classified statistics respectively according to the patient’s age, sex, drug delivery route, drug type, severity and ADR clinical manifestation, etc. Results:Among the 6 382 ADR cases,the male to female ratio was 1∶1.07, mainly in over 41 years of age and older patients(>60%). The number of general ADR report is the most, and the doctor is the main body of the report(91.21%). 5 100 cases(79.91%) were given intravenously and with a single drug cause(88.55%). ADRs mainly involved the digestive system damage(45.46%). ADR cases referred to 22 categories of drugs, Of which antineoplastic agents occupied the first place which had 1677 cases(26.28%). Oxaliplatin (34.43%), tranexamic acid (11.52%) and compound amino acid (20AA) (9.65%) were the top three among suspected drugs. 104 cases were severe, of which antineoplastic agents occupied the first place(36.54%), followed by anti infective agents(25.00%). Conclusion: In clinical work, we should pay attention to the report and monitoring of ADR, and promote the safe use of drugs.
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