首页|注射用卡瑞利珠单抗致不良反应的分析研究

注射用卡瑞利珠单抗致不良反应的分析研究

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目的:探讨恶性肿瘤患者应用注射用卡瑞利珠单抗相关不良反应的发生情况,为临床合理用药提供参考.方法:采用回顾性研究,选取2020年1月~2021年12月期间某院收治的103例恶性肿瘤患者作为研究对象,所有患者治疗期间均使用注射用卡瑞利珠单抗.观察并统计注射用卡瑞利珠单抗相关不良反应的发生情况.结果:103例恶性肿瘤患者中发生注射用卡瑞利珠单抗说明书报道的不良反应共24种,合计116例次.其中,反应性毛细血管增生症发生率最高(52.59%);其次为甲状腺功能低下(15.52%);未发生致死性不良反应;不同资料特征的恶性肿瘤患者不良反应发生情况存在一定差异,其中女性、年龄>55岁的患者不良反应发生率分别高于男性、年龄≤55岁患者;注射用卡瑞利珠单抗联合2种及以上药物患者的不良反应发生率高于注射用卡瑞利珠单抗联合1种药物及单独使用注射用卡瑞利珠单抗患者,注射用卡瑞利珠单抗联合1种药物患者的不良反应发生率高于单独使用注射用卡瑞利珠单抗患者.结论:恶性肿瘤患者应用注射用卡瑞利珠单抗治疗时,所引起的不良反应类型较多,发生率较高,且不同性别、年龄段患者的不良反应发生情况也存在一定差异.因此,临床应进一步提高重视,加强合药监测,保障患者用药安全.
Analysis on Adverse Reactions Related to Camrelizumab for Injection
Objective:To investigate the adverse reactions related to camrelizumab for injection treatment in patients with malignant tumors,and to provide reference for clinical rational drug use.Methods:A retrospective study was conducted in 103 patients with malignant tumors who were treated in the hospital between January 2020 and December 2021.All patients received camrelizumab for injection during the treatment period,and the occurrence of camrelizumab for injection related adverse reactions was recorded.Results:A total of 24 different adverse reactions reported in the instructions for camrelizumab for injection occurred in 103 patients with malignant tumors,with a total of 116 times.The incidence of reactive capillary hyperplasia was the highest,accounting for 52.59%,followed by hypothyroidism,accounting for 15.52%.No fatal adverse reactions were observed.Significant differences in the incidence of adverse reactions in patients with malignant tumors were observed based on different data characteristics.The incidence of adverse reactions is higher in women and patients over 55 years old compared to men and patients aged≤55 years old.The incidence of adverse reactions in patients treated with a combination of two or more drugs of camrelizumab for injection is higher than that in those treated with a combination of one drug of camrelizumab for injection or camrelizumab for injection alone.Furthermore,the incidence of adverse reactions in patients treated with the combination of camrelizumab for injection and one drug is higher than that in patients treated with camrelizumab for injection alone.Conclusion:Numerous adverse reactions were observed in patients with malignant tumors treated with camrelizumab for injection,and the incidence is high.Sufficient attention should be paid in the clinic to enhance the monitoring of rational drug use and ensure the safety of patients.

malignant tumorcamrelizumab for injectionreactive capillary hyperplasiahypothyroidismfever

郭春霞、高明

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洛阳石化医院肿瘤内科,洛阳 471012

郑州大学第一附属医院肿瘤内科,郑州 450052

恶性肿瘤 注射用卡瑞利珠单抗 反应性毛细血管增生症 甲状腺功能低下 发热

希思科-恒瑞肿瘤研究基金

Y-HR2019

2024

中国合理用药探索
中国执业药师协会

中国合理用药探索

影响因子:0.62
ISSN:2096-3327
年,卷(期):2024.21(2)
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