Analysis on Adverse Drug Reaction Induced by Traditional Chinese Medicine Injections in Dongfang Hospital of Beijing University of Chinese Medicine from 2016 to 2019
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Analysis on Adverse Drug Reaction Induced by Traditional Chinese Medicine Injections in Dongfang Hospital of Beijing University of Chinese Medicine from 2016 to 2019
JIN Mengya, LI Zhiyuan, CAO Junling, et al. Analysis on Adverse Drug Reaction Induced by Traditional Chinese Medicine Injections in Dongfang Hospital of Beijing University of Chinese Medicine from 2016 to 2019. [J]. 20(8):1009-1012(2020)
JIN Mengya, LI Zhiyuan, CAO Junling, et al. Analysis on Adverse Drug Reaction Induced by Traditional Chinese Medicine Injections in Dongfang Hospital of Beijing University of Chinese Medicine from 2016 to 2019. [J]. 20(8):1009-1012(2020) DOI: 10.14009/j.issn.1672-2124.2020.08.030.
Analysis on Adverse Drug Reaction Induced by Traditional Chinese Medicine Injections in Dongfang Hospital of Beijing University of Chinese Medicine from 2016 to 2019
摘要
目的:探讨北京中医药大学东方医院(以下简称"该院")中药注射剂致药品不良反应(adverse drug reaction
ADR)的发生规律、特点
为临床中药注射剂的合理应用提供参考依据。方法:采用回顾性分析方法
筛选2016—2019年该院符合要求的中药注射剂致ADR报告
记录相关信息
结合指南及文献进行分析。结果:共选取符合要求的中药注射剂致ADR报告52例
涉及12种药品
分为5大类
其中活血化瘀类中药注射剂致ADR病例数所占比例最大(23例
占44.23%);32.69%的患者(17例)存在联合用药情况;发生ADR的患者中
女性患者居多(35例
占67.31%)
高峰年龄段>60岁(34例
占65.38%);中药注射剂致ADR可累及多个器官和(或)系统
主要为皮肤及其附件损害
其次为中枢及外周神经系统损害、全身性损害。结论:药师应积极正确干预中药注射剂的不合理应用问题
加强中药注射剂的ADR监测上报工作
保证患者的用药安全
促进临床合理用药。
Abstract
OBJECTIVE:To probe into the regularity and characteristics of adverse drug reactions(ADR) induced by traditional Chinese medicine(TCM) injections in Dongfang hospital of Beijing University of Chinese Medicine(hereinafter referred to as "our hospital")
so as to provides references for rational application of TCM injections.METHODS:Retrospective analysis was adopted to screen the reports of ADR induced by TCM injection that met the requirements during 2016-2019
record relevant information
conducted analysis according to the guidelines and literature.RESULTS:There were 52 reports of ADR induced by TCM injection that met the requirements
12 kinds of drugs were involved
which were divided into 5 categories
and the TCM injection of blood circulation-promoting and stasis-removing had induced the largest proportion of ADR cases(23 cases
44.23%);32.69% of patients(17 cases) had combined medication;among the patients with ADR
most were female(35 cases
67.31%)
and the peak age group was over 60 years old(34 cases
65.38%);ADR caused by TCM injection can involve multiple organs and(or) systems
mainly were skin and its accessories damage
followed by central and peripheral nervous system damage
and systemic damage.CONCLUSIONS:Pharmacists should actively and correctly intervene in the irrational application of TCM injection
strengthen the monitoring and reporting of ADR induced by TCM injection
ensure medication safety and promote clinical rational medication.
关键词
中药注射剂药品不良反应合理用药
Keywords
Traditional Chinese medicine injectionsAdverse drug reactionRational medication