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268例葡萄糖酸钙注射液不良反应报告分析
Analysis of the Adverse Drug Reactions Caused by Calcium Gluconate Injection
  
DOI:
中文关键词:  葡萄糖酸钙注射液  药品不良反应  报告  安全用药
英文关键词:Calcium gluconate injection  Adverse drug reaction  Reports  Safety drug use
基金项目:
作者单位
张歆 宋滨 ①淄博市药品不良反应监测中心(山东淄博 255000) 
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中文摘要:
      摘 要 目的:分析葡萄糖酸钙注射液不良反应发生的特点,为临床安全用药提供参考。方法:采用回顾性分析方法,对山东省药品不良反应监测中心ADR报告数据库中2010年1月1日~2015年9月15日葡萄糖酸钙注射液不良反应报告进行统计分析,项目包括:患者性别与年龄、原患疾病、过敏史、用药原因,ADR发生时间,用法用量、联合用药,ADR累及系统 器官类型及分布,ADR转归,以及不良反应类型、评价结果等因素。结果:268例ADR报告中,男女患者比例相当,15~44岁患者构成比最高;ADR多发生于静脉滴注时,ADR发生时间多为前30 min;临床累及器官或系统主要为胃肠道系统、全身性反应和皮肤及其附件;绝大多数患者在停药或对症治疗后好转或痊愈。结论:警惕葡萄糖酸钙注射液引发的不良反应,完善说明书中安全提示信息,提高临床合理用药水平,加强临床监护,防止严重不良反应发生,保障临床用药安全。
英文摘要:
      ABSTRACT Objective:Analysis of the adverse drug reactions’ general rules and characteristics which caused by calcium gluconate injection, in order to provide reference for clinical rational use of drugs. Methods:Using retrospective study method to statistics of ADR reports caused by calcium gluconate injection that were collected by Shandong Provincial Center for ADR Monitoring in National adverse drug reaction monitoring system during from January 1, 2010 to September 15, 2015. The items included patient gender and age, original disease, allergic history, reasons of medication, ADR occurrence time, method and dosage, combination medication, ADR involvement system organ type and clinical distribution, ADR outcome, and adverse reaction type, evaluation results and other factors.Results:Among the 268 ADR reports, the proportion of male and female patients were equal; 15 to 44 year old patients had the highest ratio; ADR mostly occurred during intravenous infusion; ADR occurred mostly within the first 30 min; clinical involvement organs or systems were mainly the gastrointestinal system, systemic reactions, and skin and its accessories; and most patients improved or were cured after drug withdrawal or symptomatic treatment. Conclusion:Pay attention to the adverse reactions caused by calcium gluconate injection. Supplement the safety information of instructions. Improve the level of clinical rational use of drugs. Strengthen the clinical monitoring. The purpose of these measures are preventing the serious adverse reactions and ensuring the safety of clinical medication.
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