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阿托伐他汀临床应用不良反应及合理用药研究

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目的 对阿托伐他汀临床应用不良反应及合理用药情况进行探讨.方法 回顾性分析60 例行阿托伐他汀治疗出现不良反应患者的临床资料,总结分析患者的年龄分布情况,联合用药、合并疾病情况,累及部位及临床表现.结果 本组 60 例患者中,33~40 岁不良反应患者占比为 8.33%,41~50 岁不良反应患者占比为 16.67%,51~60 岁不良反应患者占比为 26.67%,61~86 岁不良反应患者占比为 48.33%.经统计,>50 岁不良反应患者占比较≤50 岁不良反应患者略高.60 例患者中,有 19 例患者伴高脂血症,占比为 31.67%;其余患者伴有糖尿病、高血压、冠心病等疾病,占比为 68.33%.在阿托伐他汀药物应用期间,有 28 例患者联合应用 2~4 种药物,占比为 46.67%,包括心血管系统药、抗生素等.60 例患者中,不良反应主要发生于消化系统、骨骼肌肉系统、血液系统、免疫系统,占比分别为33.33%、46.67%、5.00%和15.00%.结论 临床应用阿托伐他汀治疗时,多种药物联合应用易引发不良反应,累及消化系统、免疫系统、骨骼肌肉系统和血液系统.因此在应用阿托伐他汀药物前要全面考虑药物之间的相互作用,并结合患者年龄、疾病类型等合理用药,减少不良反应的发生,提高临床疗效.
Adverse reactions and rational use of atorvastatin in clinical practice
Objective To explore the adverse reactions and rational use of atorvastatin in clinical practice.Methods A retrospective analysis was conducted on the clinical data of 60 patients with adverse reactions after receiving atorvastatin treatment.The age distribution,combined drug use,comorbidities,involved sites and clinical manifestations of patients were summarized and analyzed.Results In 60 patients,the incidence rate was 8.33%at the age of 33-40 years,16.67%at the age of 41-50 years,26.67%at the age of 51-60 years,and 48.33%at the age of 61-87 years.According to statistics,the proportion of adverse reactions in patients>50 years old was slightly higher than that in patients≤50 years old.Of the 60 patients,19 cases were accompanied by hyperlipidemia,accounting for 31.67%;the other patients had diseases such as diabetes,hypertension and coronary heart disease,accounting for 68.33%.During the application of atorvastatin,28 patients were treated with 2-4 drugs in combination,accounting for 46.67%,including cardiovascular system drugs and antibiotics.Of the 60 patients,adverse reactions mainly occurred in digestive system,skeletal muscle system,blood system and immune system,accounting for 33.33%,46.67%,5.00%and 15.00%,respectively.Conclusion When using atorvastatin in clinical treatment,the combination of multiple drugs is prone to adverse reactions,affecting the digestive system,immune system,skeletal muscle system,and blood system.Therefore,before applying atorvastatin drugs,it is necessary to comprehensively consider the interactions between drugs,and use drugs reasonably based on patient age and disease type to reduce the occurrence of adverse reactions and improve clinical efficacy.

AtorvastatinAdverse reactionsRational drug use

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233600 涡阳县人民医院

阿托伐他汀 不良反应 合理用药

2024

中国实用医药
中国康复医学会

中国实用医药

影响因子:0.797
ISSN:1673-7555
年,卷(期):2024.19(8)
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