首页|2021-2022年我院妇产科120例抗菌药物不良反应报告分析

2021-2022年我院妇产科120例抗菌药物不良反应报告分析

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目的 分析 2021-2022 年都昌县妇幼保健院妇产科 120 例抗菌药物不良反应(ADR)报告,为临床抗菌药物合理使用提供参考。方法 回顾性选择 2021 年 1 月至 2022 年 12 月医院妇产科使用抗菌药物治疗的 600 例患者,选择发生抗菌药物不良反应的120 例患者为对象,药物不良反应发生率为20%,统计ADR发生时间、给药途径、抗菌药物类型和累及器官;记录抗菌药物不良反应患者临床表现、转归等,并制定相应的措施干预。结果 入组患者均使用抗菌药物,用药天数(5。72±0。91)d;97 例(80。83%)ADR患者发生在用药 1d内;给药途径以静脉滴注为主(93。33%);120 例患者使用抗菌药物类型较多,排在前两位的是头孢菌素类和硝基咪唑类,分别为 66 例(占 55。00%)和 24 例(20。00%);ADR患者累及器官相对较多,临床表现也不同,排在前三位的是消化道反应、神经系统及皮肤反应,分别为 33 例(27。50%)、28 例(23。33%)和 24 例(20。00%);117 例ADR经处理后症状好转或治愈,3 例患者转上一级医院诊疗。结论 ADR主要分布于静脉滴注用药患者中,且以头孢菌素类抗菌药物为主,停药后多数患者痊愈,医院应加强重点药物及妇产科药学监护,以降低不良反应发生率。
Analysis of 120 Adverse Drug Reaction Reports of Antibiotics in Obstetrics and Gynecology of Our Hospital from 2021 to 2022
Objective To explore the analysis of 120 adverse drug reactions(ADRs)reports of antibiotics in the obstetrics and gynecology department of Duchang Maternity and Child Health Care Hospital from 2021 to 2022,and provide reference for the rational use of antibiotics in clinical practice.Methods Retrospective selection of 600 patients treated with antibiotics in the obstetrics and gynecology department of the hospital from January 2021 to December 2022.Among them,120 patients had adverse reactions to antibiotics,with a drug adverse reaction rate of 20%.The occurrence time,administration route,type of antibiotics,and affected organs of ADR were analyzed;record the clinical manifestations and outcomes of patients with adverse reactions to antibiotics,and develop corresponding measures for intervention.Results All enrolled patients were treated with antibiotics,with an average of(5.72±0.91)days of medication;among the patients,97 cases(80.83%)of ADR occurred within 1 day of medication;the main route of administration is intravenous drip(93.33%);120 gynecological and obstetric patients used more types of antibiotics,with cephalosporins and nitroimidazoles being the top two,accounting for 66 cases(55.00%)and 24 cases(20.00%),respectively.ADR patients have relatively more organ involvement,and the top three were gastrointestinal reactions,neurological and skin reactions,accounting for 33 cases(27.50%),28 cases(23.33%),and 24 cases(20.00%),respectively;117 cases of ADR improved or were cured after treatment,and 3 patients were transferred to a higher-level hospital for diagnosis and treatment.Conclusion ADR was mainly distributed in patients who received intravenous drip medication,most patients recovered after discontinuing medication.Hospitals should strengthen key drugs and obstetrics and gynecology pharmacy monitoring to reduce the incidence of adverse reactions.

Obstetrics and gynecologyAntibacterial drugsAdverse drug reactionReport analysisReasonable drug use

张丽

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都昌县妇幼保健院,江西 都昌 332600

妇产科 抗菌药物 不良反应 报告分析 合理用药

2024

药品评价
江西省药学会

药品评价

影响因子:0.672
ISSN:1672-2809
年,卷(期):2024.21(1)
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