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胺碘酮致肝损伤的临床特征及危险因素分析

Analysis of clinical features and risk factors of liver injury induced by amiodarone

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目的:分析胺碘酮致肝损伤的临床特点和危险因素,探讨预警方法.方法:回顾性分析 2017 年 1 月—2023 年 3 月在我院使用胺碘酮的病例,对发生肝损伤的病例进行临床总结,并分析相关的危险因素.结果:共纳入使用胺碘酮的病例 1 775 例,其中 71 例患者使用胺碘酮后发生肝损伤,轻、中和重度肝损伤的比例分别为 60.56%、26.76%和 7.04%,71.8%的肝损伤发生在用药后 1 d内,停药后 54.9%的肝损伤在 6 d内即可恢复正常,合并使用抗菌药物和合并心血管疾病为使用胺碘酮致肝损伤的危险因素.结论:在使用胺碘酮时,应早期加强肝功能监测,做好高危患者的药学监护,减少药物性肝损伤的发生.
Objective:To analyze the clinical characteristics and risk factors of liver injury induced by amiodarone,and explore early warning methods.Methods:The cases who used amiodarone in our hospital from January 2017 to March 2023 were retrospectively analyzed,and the cases with liver injury were clinically summarized and the associated risk factors were also analyzed.Results:A total of 1 775 cases used amiodarone were included,in which 71 patients developed liver injury after using amiodarone.The proportion of mild,moderate,and severe liver injury was 60.56%,26.76%and 7.04%,respectively,and 71.8%of liver injury occurred within 1 day after medication,and 54.9%of liver injury could be recovered within 6 days after drug withdrawal.The combined use of antimicrobial drugs and the concurrent cardiovascular disease were risk factors for liver injury induced by amiodarone.Conclusion:When using amiodarone,early monitoring of liver function should be strengthened,and pharmaceutical care should be taken for high-risk patients to reduce the incidence of drug-induced liver injury.

amiodaronedrug-induced liver injuryrisk factorsearly warning methods

刘彦儒、杨涛、龚婧如、陆惠平、徐德铎

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上海市浦东医院药剂科 上海 201399

上海长征医院药剂科 上海 200003

胺碘酮 药物性肝损伤 危险因素 预警方法

2024

上海医药
上海医药行业协会

上海医药

影响因子:0.781
ISSN:1006-1533
年,卷(期):2024.45(21)