中国药物警戒2024,Vol.21Issue(1) :102-106.DOI:10.19803/j.1672-8629.20230443

694例癫痫医师药师联合门诊患者药品不良反应分析

Adverse drug reaction among 694 patients in an epilepsy physician-pharmacist joint clinic

蒋文硕 杨莉
中国药物警戒2024,Vol.21Issue(1) :102-106.DOI:10.19803/j.1672-8629.20230443

694例癫痫医师药师联合门诊患者药品不良反应分析

Adverse drug reaction among 694 patients in an epilepsy physician-pharmacist joint clinic

蒋文硕 1杨莉2
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作者信息

  • 1. 首都医科大学第五临床医学院临床药学系,北京 100069
  • 2. 首都医科大学附属北京天坛医院药学部,北京 100070
  • 折叠

摘要

目的 分析癫痫医师药师联合门诊患者药品不良反应(ADR)发生率、常见类型及其相关因素,为癫痫个体化治疗提供依据.方法 回顾性调查2020 年1月1日至 2021年12月31日于某院癫痫医师药师联合门诊就诊的患者,对患者性别、年龄及ADR发生情况进行描述性统计,并对患者ADR发生率与性别、年龄、是否联合用药的相关性进行卡方检验.结果 694 例癫痫医师药师联合门诊患者中ADR发生率为36.17%(251/694).男性和女性患者ADR发生率分别为37.08%(142/383)、35.05%(109/311),两者比较无统计学差异(χ2=0.306,P=0.580).≤14岁、15~44岁、45~64岁、≥65岁年龄组的ADR发生率分别为 24.00%、33.88%、42.96%、55.10%;4 个年龄组的ADR发生率之间有统计学差异(χ2=16.226,P=0.001).合并用药与无合并用药的ADR发生率分别为45.00%和 26.65%,两者比较有统计学差异(χ2=25.279,P=0.000).结论 癫痫的药物治疗强调个体化,应当在充分考虑患者性别、年龄、合并用药等基础上制定给药方案,必须向患者或家属强调定期复查的重要性与复查项目,保障用药安全.

Abstract

Objective To analyze the incidence,dominating types and related factors of adverse drug reaction(ADR)in patients at an epilepsy physician-pharmacist joint clinic and to provide evidence for individualized treatment of epilepsy.Methods A retrospective survey was conducted among patients who visited the epilepsy physician-pharmacist joint clinic in our hospital in 2020-2021.The gender and age of these patients and incidence of adverse reactions were statistically analyzed before Chi-square tests were performed on the correlations between the incidence of ADR and gender,age and combined medications.Results The incidence of ADR averaged 36.17%(251/694),which was 37.08%among male patients(142/383)and 35.05%among female ones(109/311),so the difference was of no statistical difference(χ 2=0.306,P=0.580).The incidence of ADR was 24.00%,33.88%,42.96%,and 55.10%respectively in the group aged 14 or older,in the group ages 15 to 44,in the group aged 45-64 and in the group aged 65 and older,so the difference was statistically significant(χ 2=16.226,P=0.001).The incidence of ADR in patients treated with combinations of drugs and those without was 45.00%and 26.65%,respectively,and the difference was of statistical significance(χ 2=25.279,P=0.000).Conclusion Medications for epilepsy should be individualized based on the gender,age,and combination of drugs.Patients or their family members should be reminded of the importance of regular re-examination to ensure the safety of medication.

关键词

癫痫/医师/药师/联合门诊/抗癫痫药/药品不良反应/个体化治疗

Key words

epilepsy/physician/pharmacist/joint clinic/antiepileptic drugs/adverse drug reactions/individualized treatment

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基金项目

国家重点研发计划(2020YFC2008305)

出版年

2024
中国药物警戒
国家药品监督管理局药品评价中心(国家药品不良反应监测中心)

中国药物警戒

CSTPCD
影响因子:1.105
ISSN:1672-8629
参考文献量5
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