医学美学美容(中旬刊)
醫學美學美容(中旬刊)
의학미학미용(중순간)
MEDICAL AESTHETICS AND COSMETOLOGY
2014年
10期
554-555
,共2页
抗菌药物%药品不良反应%因素%统计分析
抗菌藥物%藥品不良反應%因素%統計分析
항균약물%약품불량반응%인소%통계분석
antibacterials%adverse drug reaction%Factors%statistical analysis
目的:探讨我院抗菌药物不良反应(ADR)发生因素,促进临床合理使用抗菌药物,降低 ADR 的发生率及其危害。方法:对2010年1月~2014年2月我院收集的由抗菌药物引起的 ADR 患者的临床资料,按 ADR 调查表进行回顾性统计分析。结果:2148份 ADR 中,抗菌药物所致 ADR 达877例次(40.83%)。涉及 ADR 的抗菌药物共12类,其中喹诺酮类抗菌药物所引起的 ADR 有394例次(44.93%),位于12类抗菌药物的首位;静脉给药途径所引起的 ADR 最多,高达660例次(75.26%);278例抗菌药物 ADR 中,皮肤及软组织损伤最为常见,共460例次(52.45%);另外,共有223例次属于不合理用药导致 ADR(25.43%),不合理用药主要表现为:滴速过快(52例次)、药物浓度过高(29例次)、用药时间过长(21例次)、溶媒选用不当(19例次)、药物剂量不合理(15例次)等。结论:临床上应合理使用抗菌药物,以降低 ADR 的发生率,更好地保障患者用药的安全性。
目的:探討我院抗菌藥物不良反應(ADR)髮生因素,促進臨床閤理使用抗菌藥物,降低 ADR 的髮生率及其危害。方法:對2010年1月~2014年2月我院收集的由抗菌藥物引起的 ADR 患者的臨床資料,按 ADR 調查錶進行迴顧性統計分析。結果:2148份 ADR 中,抗菌藥物所緻 ADR 達877例次(40.83%)。涉及 ADR 的抗菌藥物共12類,其中喹諾酮類抗菌藥物所引起的 ADR 有394例次(44.93%),位于12類抗菌藥物的首位;靜脈給藥途徑所引起的 ADR 最多,高達660例次(75.26%);278例抗菌藥物 ADR 中,皮膚及軟組織損傷最為常見,共460例次(52.45%);另外,共有223例次屬于不閤理用藥導緻 ADR(25.43%),不閤理用藥主要錶現為:滴速過快(52例次)、藥物濃度過高(29例次)、用藥時間過長(21例次)、溶媒選用不噹(19例次)、藥物劑量不閤理(15例次)等。結論:臨床上應閤理使用抗菌藥物,以降低 ADR 的髮生率,更好地保障患者用藥的安全性。
목적:탐토아원항균약물불량반응(ADR)발생인소,촉진림상합리사용항균약물,강저 ADR 적발생솔급기위해。방법:대2010년1월~2014년2월아원수집적유항균약물인기적 ADR 환자적림상자료,안 ADR 조사표진행회고성통계분석。결과:2148빈 ADR 중,항균약물소치 ADR 체877례차(40.83%)。섭급 ADR 적항균약물공12류,기중규낙동류항균약물소인기적 ADR 유394례차(44.93%),위우12류항균약물적수위;정맥급약도경소인기적 ADR 최다,고체660례차(75.26%);278례항균약물 ADR 중,피부급연조직손상최위상견,공460례차(52.45%);령외,공유223례차속우불합리용약도치 ADR(25.43%),불합리용약주요표현위:적속과쾌(52례차)、약물농도과고(29례차)、용약시간과장(21례차)、용매선용불당(19례차)、약물제량불합리(15례차)등。결론:림상상응합리사용항균약물,이강저 ADR 적발생솔,경호지보장환자용약적안전성。
Objective:This paper was focused on analyzing the factors of the adverse drug reactions induced by antibacterials in our hospital and to promote rational use of this kind of drug in clinics.We hope to reduce the incidence of ADR induced by antibacterials.Methods:The reports of ADR cases induced by antibacterials from January 2010 to February 2014 of our hos-pital were col ected,and have a retrospectively statical analysis.Results:Of the total 2148 ADR cases col ected,877 (40.83%)were induced by antibacterials.12 categories were involved in ADR,and quinolones antibiotics were the most common cause (44.93%,394 /877)of the ADR;Most of them resulted from intravenous medication,which accounted for 75.26% (660 /877);Injuries of skin and its appendages were most common,accounting for 52.45% (460 /877);In addition,52 cases were due to the rapid speed of infusion,29 cases of high drug concentration in infusion,21 cases of long time of medication,19 cases of inappropriate choice of solvent,15 cases of incorrect drug dose,and so on.Conclusion:At ention should be paid to rational use of antibacterials in clinics so as to avoid ADR induced by antibacterials,and to promote drug’s safe usage.