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[摘要]
目的 了解咸阳市中心医院中药注射剂不良反应(ADR)发生的规律与特点,为临床安全用药提供参考。方法 选取咸阳市中心医院2014—2018年上报至国家ADR监测中心的123例中药注射剂ADR报告,按照患者性别、年龄、ADR的类型、给药途径、中药注射剂种类、累及器官/系统、临床表现、转归等进行回顾性分析。结果 123例ADR报告中,男68例,女55例,男性略高于女性;51~60岁组患者最多,占21.14%;ADR涉及的中药注射剂有6类,以理血剂引发的ADR最多,占62.60%;ADR累及器官/系统以皮肤及其附件为主,有72例(36.73%)。结论 中药注射剂所致的ADR不可忽视,应规范中药注射剂临床合理使用,加强用药监测,确保患者用药安全。
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[Abstract]
Objective To investigate the rules and the characteristics about adverse drug reactions (ADR) caused by traditional Chinese medicine injection in Xianyang Central Hospital, and provide references for rational drug use in clinics. Methods A total of 123 cases of ADR induced by traditional Chinese medicine injection reported to National ADR Monitoring Xianyang Central Hospital from 2014 to 2018 were summarized and analyzed retrospectively in terms of gender, age, types distribution, route of administration, the variety of traditional Chinese medicine injection, organs or systems involved, clinical manifestation, and outcome. Results There were 68 male and 55 female in all, and the male were slightly more than females. Patients aged between 51-60 were the highest incidence of ADR, accounting for 21.14%. There were 6 kinds of traditional Chinese medicine injection were involved in all cases, in which the number of ADR induced by blood regulating drugs was the most, accounting for 62.60%. Lesions of skin and its appendants were the most common clinical manifestations of ADR, involving 72 cases (36.73%). Conclusion ADR induced by traditional Chinese medicine injection can not be ignored. It is necessary to standardize the clinical rational use of traditional Chinese medicine injection and strengthen the monitoring of drugs, so as to ensure patients' safe medication.
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