中国合理用药探索2024,Vol.21Issue(12) :93-97.DOI:10.3969/j.issn.2096-3327.2024.12.016

37例碘克沙醇注射液不良反应报告分析

Analysis of 37 Cases of Adverse Drug Reactions Associated with Iodixanol Injection

张英芬 赵光纯 史姚平
中国合理用药探索2024,Vol.21Issue(12) :93-97.DOI:10.3969/j.issn.2096-3327.2024.12.016

37例碘克沙醇注射液不良反应报告分析

Analysis of 37 Cases of Adverse Drug Reactions Associated with Iodixanol Injection

张英芬 1赵光纯 2史姚平2
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作者信息

  • 1. 烟台市莱阳中心医院,药剂科,烟台 265200
  • 2. 烟台市莱阳中心医院,临床药学科,烟台 265200
  • 折叠

摘要

目的:分析碘克沙醇注射液的不良反应(ADR)发生情况,为临床合理安全使用此药提供参考.方法:收集 2019 年1月~2024年 2 月某院上报至国家药品不良反应监测系统的碘克沙醇注射液ADR报告,对患者性别、年龄、给药方式、ADR发生时间、累及系统/器官、临床表现、处理与转归等相关数据进行回顾性分析.结果:共收集到碘克沙醇注射液ADR 37 例,女性ADR发生率(0.30%)高于男性(0.23%);患者年龄11~91岁,其中 61~70 岁患者ADR最多,共11例;静脉给药1h内发生的急性ADR率(13.51%)高于动脉给药(5.41%);ADR累及系统/器官以皮肤及其附件为主(77.78%);患者均预后良好.结论:应重点关注碘克沙醇注射液的女性患者、静脉给药1h内和皮肤相关的不良反应,对于使用碘克沙醇注射液的所有年龄段患者均需进行必要的临床观察和防护,做好防范应对,提高用药安全性.

Abstract

Objective:To analyze the occurrence of adverse drug reactions(ADR)associated with iodixanol injection and to provide references for its rational and safe use.Methods:To collect the ADR reports of iodixanol injection submitted to the National Adverse Drug Reaction Monitonring Systerm from January 2019 to February 2024,and to conduct a retrospective analysis on related data such as patient gender,age,route of administration,time of occurrence,involved systems/organs,clinical manifestations,management and outcomes.Results:A total of 37 cases of ADR associated with iodixanol injection were identified,with an incidence rate of 0.3% in females compared 0.23% in males.The patient age was 11~91 years,with the highest number of ADR(11 cases)occurring in patients aged 61~71 years.The incidence of acute ADR within 1h following intravenous administration(13.51% )was higher than that following arterial administration(5.41% ).The involved systems/organs affected by ADR were mainly the skin and its accessories(77.78% ).The prognosis for all cases was favorable.Conclusion:Clinicians should exercise special caution in female patients,receiving intravenous iodixanol injection within 1h,and regarding skin-related adverse reactions.All patients across age groups receiving iodixanol injection should be monitored and protected clinically as necessary,with appropriate preventive and responsive measures implemented to enhance drug safety.

关键词

碘克沙醇注射液/药品不良反应/发生时间/累及系统/器官/处理与转归/防范措施

Key words

iodixanol injection/adverse drug reactions/time of occurrence/involved systems/organs/management and outcomes/preventive measures

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出版年

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
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