度洛西汀致不良反应文献分析
Literature analysis of adverse drug reactions induced by duloxetine
赵明 1梁良 1朱愿超 1杨莉萍1
作者信息
- 1. 卫生部北京医院药学部,药物临床风险与个体化应用评价北京市重点实验室,国家呼吸系统疾病临床医学研究中心,北京100730
- 折叠
摘要
目的:分析度洛西汀所致不良反应的发生情况及临床特点,为合理用药提供参考.方法:检索Pubmed,CNKI,VIP数据库中收载度洛西汀所致不良反应文献进行统计分析,检索时间为2004-2014年7月.结果:共检索41例次不良反应报道,以女性为主(32例,78.0%),年龄分布以40 ~ 60岁多见(21例,51.2%).度洛西汀所致不良反应累及的器官或系统较多,以肝胆系统损害最为多见(12例,29.3%),其余多见为神经和精神系统损害、内分泌紊乱、心血管系统损害等.结论:临床合理使用度洛西汀的同时,临床应警惕度洛西汀不良反应,加强监测以实现临床用药安全有效.
Abstract
Objective:To analyze the situation and clinical characteristics of adverse drug reactions induced by duloxetine in order to provide references for rational drug use.Methods:Pubmed,CNKI and VIP databases were searched for adverse drug reactions (ADRs) induced by duloxetine from 2004 to July 2014,and the collected case reports were further analyzed statistically.Results:Totally 41 patients were retrieved for analysis on ADRs induced by duloxetine,among which there were 32 female patients accounting for 78.0% and 21 patients aged from 40 to 60 years old accounting for 51.2%.Multiple organs or systems were involved in ADRs induced by duloxetine,and liver and biliary system disorders were the most frequent ADRs in the collected case reports (12 patients,29.3%),followed by psychiatric disorders,central and peripheral nervous system disorders,endocrine disorders,cardiac and vascular disorders.Conclusion:ADRs induced by duloxetine should be aware in rational use of duloxetine,and monitoring should be strengthened in order to realize safe and effective use in the clinical context.
关键词
度洛西汀/药物不良反应/文献分析Key words
duloxetine/adverse drug reaction/literature analysis引用本文复制引用
出版年
2014