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某院1 919例药品不良反应报告分析

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目的 研究某院药品不良反应(ADR)发生的特点及规律,挖掘风险信号,为临床用药提供参考。方法 收集山东省邹城市人民医院2021-2023年监测的ADR报告1 919例,采用回顾性分析方法对ADR类型、报告人职业及科室分布、患者性别及年龄、给药途径、药品种类、累及器官和(或)系统、引起严重ADR的主要药品及临床表现、ADR转归等方面进行统计分析。结果 1 919例ADR中"一般"有1 203例;ADR上报以临床医师为主;女性患者多于男性患者,ADR发生最多的人群为60岁以上的人群;给药途径以静脉滴注为主;药品种类中抗感染药物引发ADR例数最多;ADR累及器官和(或)系统以消化系统为主,共1 064例;引起严重ADR的主要药品有奥沙利铂、头孢哌酮钠舒巴坦钠和莫西沙星等;1 919例ADR报告中1 862例患者好转。结论 ADR的发生与患者年龄、给药途径及药物类别等多种因素有关,临床应重视ADR的监测,提高合理用药水平。
Analysis of 1 919 cases of adverse drug reactions in a hospital
Objective To study the characteristics and patterns of the occurrence of adverse drug reac-tions(ADR)in Zoucheng People's Hospital,to excavate the risk signals,and to provide reference for the clinical use of drugs.Methods We collected 1 919 ADR reports monitored in Zoucheng People's Hospital from 2021 to 2023,and used retrospective analysis to statistically analyze the types of ADR,occupational and departmental dis-tribution of the reporters,gender and age of the patients,routes of administration,types of drugs,organs and/or systems involved,major drugs causing serious ADR and their clinical manifestations,and ADR regression.Results Among the 1 919 ADR cases,most of them were"general"with 1 203 cases.ADR were mainly reported by clini-cians.There were more female patients than male patients,and the most ADR occurred in people over 60 years of age.The route of administration was mainly by intravenous drip.The number of ADR triggered by anti-infective drugs was the highest among the types of medicines.ADR involved mainly the digestive system in terms of organs and/or systems,with a total of 1 064 cases.The main drugs that caused serious ADR included oxaliplatin,cefoper-azone sodium sulbactam sodium,and moxifloxacin.And 1 862 patients were reported to be better in the 1919 cases of ADR.Conclusion The occurrence of ADR is related to various factors such as patient's age,route of administration and drug class,etc.Clinical attention should be paid to the monitoring of ADR to improve the rational use of drugs.

Drag-related side effects and adverse reactionsAnti-infective agentsReport analysisRational drug use

张新娜、李明、李瑞明、杨同聚、徐东

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邹城市人民医院药学部,山东邹城 273500

汶上县人民医院药剂科,山东济宁 272500

济宁市公共卫生医疗中心药剂科,山东济宁 272100

药品相关性副作用和不良反应 抗感染药 报告分析 合理用药

山东省济宁市重点研发计划

2022YXNS157

2024

中国药物与临床
中国医院协会

中国药物与临床

影响因子:0.846
ISSN:1671-2560
年,卷(期):2024.24(7)