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我院2013~2017年1 293例药品不良反应报告分析
Analysis of 1 293 Cases of Adverse Drug Reactions in A Three Teaching Hospital
  
DOI:
中文关键词:  药品不良反应  报告  监测  安全用药
英文关键词:Adverse drug reactions  Report  Monitoring  Safe medication
基金项目:陕西省自然基础研究计划项目(编号:2016JM8037)
作者单位
罗赛赛 郑巧伟 尤海生 魏友霞 封卫毅 西安交通大学第一附属医院药学部 西安 710061 
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中文摘要:
      摘 要 目的:分析我院近5年发生的药品不良反应(ADR)报告,以促进临床安全用药。 方法:汇总我院 2013~2017年上报的1 293例ADR报告,分别从ADR上报人职业、患者一般情况、用药情况、临床表现与转归等方面进行统计分析。结果:1 293例ADR报告中,患者男女比例为1.36 ∶〖KG-*4〗1, 既往有ADR史者103例(8.0%)。227例(17.6%)患者联合使用多种药物。发生ADR的抗微生物药品和抗肿瘤药物的构成比分别是28.1%、25.8%。ADR的临床表现主要以皮肤及其附件损害、胃肠系统损害多见。ADR的关联评价情况,其中肯定99例(7.7%),很可能789例(61.7%),可能396例(30.6%)。ADR的分级中,一般的ADR 1 082例(83.7%),严重的ADR 137例(10.6%),新的ADR 74例(5.7%)。〖HTH〗结论:〖HTK〗加强抗微生物药品和抗肿瘤药物ADR的监测,以减少或避免 ADR 的发生。
英文摘要:
      ABSTRACT Objective:The adverse drug reactions (ADR) occurred in our hospital past five years were analyzed, so as to promote the rational use of drugs. Methods:A total of 1 293 cases of ADR reported in our hospital from 2013 to 2017 were analyzed. It was statistically analyzed from patients’ occupation, general situation, medication, clinical manifestations and outcome. Results:The proportion of men and women in ADR patients was 1.36 ∶〖KG-*4〗1, 103 patients had previous adverse drug reactions (8.0%), combined use of drugs in 227 patients (17.6%). Antimicrobial drugs and anti tumor drugs were 28.1%, 25.8%. The main ADR damages were the skin and its accessories, gastrointestinal system. The results of correlation assessment showed that the proven, probably and possible ADR were 99(7.7%),798(61.7%) and 396(30.6%) cases, respectively. The classification results of ADR included general 1 082(83.7%), severe 137(10.6%) and new 74(5.7%). Conclusion: To strengthen the monitoring of antimicrobial drugs and anti cancer drugs ADR, reduce the intravenous administration, in order to reduce or avoid the occurrence of ADR.
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