首页|基于贵州省5年药品不良反应监测数据的奥美拉唑安全性研究

基于贵州省5年药品不良反应监测数据的奥美拉唑安全性研究

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目的 基于5年药品不良反应(ADR)监测数据,分析奥美拉唑致ADR的特点,估算发生风险,以期为药品临床综合评价提供安全性数据支持。方法 回顾性调取2018年1月至2023年9月,贵州省药品评价中心收到的奥美拉唑致ADR的信息,用MedDRA术语集对报告条目标准化。对患者基本信息、ADR分布特点以及不同给药途径导致的ADR发生风险进行分析。结果 最终纳入2048份报告(共计3363例次),女性占58。94%,儿童占4。59%,严重ADR占6。64%。皮肤及皮下组织、胃肠系统和神经系统为奥美拉唑所致ADR常见发生部位。相比口服给药,静脉给药途径发生ADR的风险更高(RR=15。46,95%CI:12。40~19。26)。结论 奥美拉唑短期应用安全性良好,静脉途径给药的ADR发生风险高,长期应用需加强监测。
Clinical safety study of omeprazole based on 5-year adverse drug reaction monitoring data in Guizhou province
Objective To describe the characteristics of adverse reactions(ADR)caused by omeprazole and estimate the risk of occurrence based on the 5-year ADR monitoring data,to provide safety data for the comprehensive clinical evaluation of drugs.Methods The ADR information caused by omeprazole received by the Guizhou Provincial Adverse Drug Reaction Monitoring Center from January 2018 to September 2023 was retrospectively retrieved,and the report items were standardized using the MedDRA terminology.Patient demographics,ADR distribution characteristics,and ADR risks associated with different routes of administration were analyzed.Results A total of 2048 ADR reports(3363 cases)were included,of which 58.94%were women,4.59%were children,and 6.64%were severe ADR.The skin and subcutaneous tissue,gastrointestinal system,and nervous system were the most common sites of ADRs caused by omeprazole.Compared to oral administration,intravenous administration had a higher risk of ADRs(RR=15.46,95%CI:12.40 to 19.26).Conclusion Based on the analysis of 5-year ADR monitoring data in Guizhou Province,omeprazole demonstrated good short-term safety,but the risk of ADRs was higher with intravenous administration.Enhanced monitoring is recommended for long-term use.

omeprazoleadverse reactionssafetyMedDRA

李晓菲、刘童、李琳、匡婷婷、周鹏翔

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贵州医科大学附属医院 药学部,贵阳 550001

中山大学附属第一医院贵州医院 药学部,贵阳 550004

贵州省药品评价中心,贵阳 550001

北京大学第三医院 药学部,北京 100191

北京大学医学部 药物评价中心,北京 100191

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奥美拉唑 不良反应 安全性 MedDRA

贵州省卫生健康委科学技术基金项目贵州医科大学附属医院国家自然科学基金培育项目

gzwkj2021-555gyfynsfc[2022]-21

2024

临床药物治疗杂志
北京药学会

临床药物治疗杂志

CSTPCD
影响因子:1.07
ISSN:1672-3384
年,卷(期):2024.22(7)
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