中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2014年
22期
158-159,160
,共3页
中药%不良反应%合理用药
中藥%不良反應%閤理用藥
중약%불량반응%합리용약
Traditional Chinese medicine%Adverse reaction%Rational drug use
目的：通过对中药不良反应的进一步认识，为临床合理用药提供参考。方法：入选2010年6月-2013年6月笔者所在医院中药不良反应报告166例，对其资料进行回顾性分析。结果：中药不良反应年龄在5~81周岁，说明中药不良反应发生的年龄段较为广泛，性别差异没有明显差异性，其中60周岁以上的患者所占比例最高，高达34.34%；不良反应涉及中药品种47个，分别通过静脉滴注、肌注、口服、局部用药和外用给药，其中静脉滴注不良反应发生率明显较高；中药不良反应主要累及系统包括皮肤和附件，构成比41.57%；消化系统，构成比为33.13%。结论：中药不良反应应当引起相应的高度重视，应合理应用中药，在不良反应人群中60周岁以上发生率较高，中药注射剂静脉滴注不良反应发生率较高，主要涉及系统为皮肤、附件和消化系统，因此应慎重选择中药治疗以减少不良反应的发生，同时重视中药不良反应信息的流通，尽可能保障患者药品安全合理应用。
目的：通過對中藥不良反應的進一步認識，為臨床閤理用藥提供參攷。方法：入選2010年6月-2013年6月筆者所在醫院中藥不良反應報告166例，對其資料進行迴顧性分析。結果：中藥不良反應年齡在5~81週歲，說明中藥不良反應髮生的年齡段較為廣汎，性彆差異沒有明顯差異性，其中60週歲以上的患者所佔比例最高，高達34.34%；不良反應涉及中藥品種47箇，分彆通過靜脈滴註、肌註、口服、跼部用藥和外用給藥，其中靜脈滴註不良反應髮生率明顯較高；中藥不良反應主要纍及繫統包括皮膚和附件，構成比41.57%；消化繫統，構成比為33.13%。結論：中藥不良反應應噹引起相應的高度重視，應閤理應用中藥，在不良反應人群中60週歲以上髮生率較高，中藥註射劑靜脈滴註不良反應髮生率較高，主要涉及繫統為皮膚、附件和消化繫統，因此應慎重選擇中藥治療以減少不良反應的髮生，同時重視中藥不良反應信息的流通，儘可能保障患者藥品安全閤理應用。
목적：통과대중약불량반응적진일보인식，위림상합리용약제공삼고。방법：입선2010년6월-2013년6월필자소재의원중약불량반응보고166례，대기자료진행회고성분석。결과：중약불량반응년령재5~81주세，설명중약불량반응발생적년령단교위엄범，성별차이몰유명현차이성，기중60주세이상적환자소점비례최고，고체34.34%；불량반응섭급중약품충47개，분별통과정맥적주、기주、구복、국부용약화외용급약，기중정맥적주불량반응발생솔명현교고；중약불량반응주요루급계통포괄피부화부건，구성비41.57%；소화계통，구성비위33.13%。결론：중약불량반응응당인기상응적고도중시，응합리응용중약，재불량반응인군중60주세이상발생솔교고，중약주사제정맥적주불량반응발생솔교고，주요섭급계통위피부、부건화소화계통，인차응신중선택중약치료이감소불량반응적발생，동시중시중약불량반응신식적류통，진가능보장환자약품안전합리응용。
Objective:To retrospectively analyze the reports of adverse reactions of traditional Chinese medicine of our hospital and through further understanding of adverse reactions of traditional Chinese medicine to provide references for clinical rational drug use.Method:166 cases of reports of adverse reactions of traditional Chinese medicine from June 2010 to June 2013 were chosen and statistically analyzed.Result:The age of people with adverse reactions were between 5 to 81 years old,indicating that age group of people with adverse reactions of traditional Chinese medicine was broad.There was no significant difference between different genders.Patients above 60 years old had the highest ratio as 34.34%.47 kinds of traditional Chinese medicine with adverse reactions were involved which were separately given through intravenous drip,intramuscular,per os,ocal application and external application.Among which,intravenous drip had the highest occurrence rate of adverse reactions.The involved systems were mainly skin and annex which accounted for 41.57% and digestive system which accounted for 33.13%.Conclusion:Adverse reactions of traditional Chinese medicine should be paid high attention to and traditional Chinese medicine should be used rationally. Among people with adverse reactions,the patients above 60 years old have the highest occurrence rate,intravenous drip of traditional Chinese medicine injection has the highest occurrence rate of adverse reactions,and the involved systems are mainly skin,annex and digestive system.Traditional Chinese medicine treatment should be adopted carefully to reduce occurrence of adverse reactions,meanwhile information communication of adverse reactions of traditional Chinese medicine should be paid attention to,and guarantee drug safety and rational use for patients as far as possible.
