首页> 中文期刊> 《中国医院用药评价与分析》 >2013年381例药品不良反应报告分析

2013年381例药品不良反应报告分析

         

摘要

OBJECTIVE: To investigate the characteristics and regularity of the adverse drug reactions ( ADRs) occurred in Shaanxi Yulin First Municipal Hospital ( hereinafter referred to as “our hospital”) so as to reduce the incidence of ADR and promote rational use of drugs. METHODS:A total of 381 ADR case reports collected by clinical pharmacy room of pharmacy department of our hospital in 2013 were statistically analyzed and evaluated using regression analysis. RESULTS:Of the 381 ADR cases, males showed high proportion than females [(52�76%(201 cases) vs. 47�24%( 180 cases ) ]; the patients aged 51⁃70 years took the lead with 240 cases ( 62�99%); the inpatients outnumbered the outpatients [ 348 ( 91�34%) vs. 33 ( 8�66%) ];173 cases ( 45�41%) were induced by anti⁃infective drugs,327 cases(85�83%) by intravenous drip infusion;156 cases(40�94%) manifested as lesions of skin and its appendages. 342(89�76%) were common ADRs;303(79�53%) were cured;171 cases(44�88%) were considered as “most probably” in cause⁃effect relationship. CONCLUSIONS: The occurrence of ADR is closely associated with clinic;it is important for hospital to attach great importance to the ADR monitoring and reporting so as to promote clinical rational use of drugs.%目的:了解陕西榆林市第一医院(以下简称“我院”)药品不良反应( ADR)发生的特点和规律,以期减少ADR的发生,促进合理用药。方法:采用回归性分析法对2013年我院药剂科临床药学室收集的381份ADR报告进行统计分析、评价。结果:381例ADR报告中,发生ADR的男性患者(201例,占52�76%)多于女性患者(180例,占47�24%);51~70岁的中老年患者(240例,占62�99%)多于其他年龄段患者;住院患者(348例,占91�34%)多于门诊患者(33例,占8�66%);引发ADR的药物以抗感染药为主(173例,占45�41%);给药途径以静脉滴注为主(327例,占85�83%);ADR 的主要临床表现为皮肤及其附件损害(156例,占40�94%);ADR报告类型多为一般的ADR(342例,占89�76%),结果多表现为痊愈(303例,占79�53%),发生的因果关系多为“很可能”(171例,占44�88%)。结论:ADR的发生与临床密切相关,医院应予以重视,加强对ADR的监测和上报工作,促进临床合理用药。

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