中国医院用药评价与分析
中國醫院用藥評價與分析
중국의원용약평개여분석
Evaluation and Analysis of Drug-Use in Hospitals of China
2015年
8期
1097-1099
,共3页
中药注射剂%不良反应%护理
中藥註射劑%不良反應%護理
중약주사제%불량반응%호리
Chinese medicine injection%Adverse reaction%Nursing
目的:研究中药注射剂常见不良反应及护理措施. 方法:将孝感市中心医院(以下简称"我院")675例应用中药注射剂治疗患者按抽签方式随机分为观察组(340例)与对照组(335例),对照组常规用药指导,观察组采取给药全周期护理,比较2组不良反应发生率. 结果:675例患者共225例出现不良反应,主要药品为参麦注射液(52例,23. 11%)、清开灵注射液(47例,20. 89%)、双黄连注射液(33例,14. 67%)、血栓通注射液(29例,12. 89%)、银杏达莫注射液(24例,10. 67%)、香丹注射液(13例,5. 78%)、生脉注射液(9例,4. 00%)、丹参注射液(8例,3. 56%)、舒血宁注射液(6例,2. 67%)、灯盏花素注射液(4例,1. 78%);观察组不良反应发生率为17. 35%(59/340),与对照组49. 55%(166/335)比较,发生率显著较低,差异具有统计学意义(P<0. 05). 结论:中药注射剂不良反应发生受诸多因素的影响,需引起临床重视,采取给要前、给药中及给药后全程护理措施具有必要性.
目的:研究中藥註射劑常見不良反應及護理措施. 方法:將孝感市中心醫院(以下簡稱"我院")675例應用中藥註射劑治療患者按抽籤方式隨機分為觀察組(340例)與對照組(335例),對照組常規用藥指導,觀察組採取給藥全週期護理,比較2組不良反應髮生率. 結果:675例患者共225例齣現不良反應,主要藥品為參麥註射液(52例,23. 11%)、清開靈註射液(47例,20. 89%)、雙黃連註射液(33例,14. 67%)、血栓通註射液(29例,12. 89%)、銀杏達莫註射液(24例,10. 67%)、香丹註射液(13例,5. 78%)、生脈註射液(9例,4. 00%)、丹參註射液(8例,3. 56%)、舒血寧註射液(6例,2. 67%)、燈盞花素註射液(4例,1. 78%);觀察組不良反應髮生率為17. 35%(59/340),與對照組49. 55%(166/335)比較,髮生率顯著較低,差異具有統計學意義(P<0. 05). 結論:中藥註射劑不良反應髮生受諸多因素的影響,需引起臨床重視,採取給要前、給藥中及給藥後全程護理措施具有必要性.
목적:연구중약주사제상견불량반응급호리조시. 방법:장효감시중심의원(이하간칭"아원")675례응용중약주사제치료환자안추첨방식수궤분위관찰조(340례)여대조조(335례),대조조상규용약지도,관찰조채취급약전주기호리,비교2조불량반응발생솔. 결과:675례환자공225례출현불량반응,주요약품위삼맥주사액(52례,23. 11%)、청개령주사액(47례,20. 89%)、쌍황련주사액(33례,14. 67%)、혈전통주사액(29례,12. 89%)、은행체막주사액(24례,10. 67%)、향단주사액(13례,5. 78%)、생맥주사액(9례,4. 00%)、단삼주사액(8례,3. 56%)、서혈저주사액(6례,2. 67%)、등잔화소주사액(4례,1. 78%);관찰조불량반응발생솔위17. 35%(59/340),여대조조49. 55%(166/335)비교,발생솔현저교저,차이구유통계학의의(P<0. 05). 결론:중약주사제불량반응발생수제다인소적영향,수인기림상중시,채취급요전、급약중급급약후전정호리조시구유필요성.
OBJECTIVE:To study the common adverse reactions and nursing countermeasures of traditional Chinese medicine injection. METHODS:675 patients with treatment of traditional Chinese medicine injection in the Center Hospital of Hubei Xiaogan ( hereinafter referred to as"our hospital") , were randomly divided into observation group(340 cases)and control group(335 cases)by drawing lots. The control group were guided with routine medication while the observation group received full cycle care of medication, the incidence of adverse reactions in two groups was compared. RESULTS: Of the total 675 cases, there were 225 cases with adverse reactions. Among them, shenmai injection ( 52 cases, 23. 11%) , qingkailing injection ( 47 cases, 20. 89%) , shuanghuanglian injection ( 33 cases, 14. 67%), xueshuantong injection(29 cases,12. 89%), ginkgo leaf extract and dipyridamole injection(24 cases, 10. 67%) , xiangdan injection(13 cases,5. 78%) , Shengmai injection(9 cases,4. 00%) , danshen injection(8 cases, 3. 56%), shuxuening injection(6 cases,2. 67%)and breviscapine injection(4 cases,1. 78%);The incidence rate of adverse reactions in the observation group was 17. 35%(59/340) which was significantly lower than that of the control group 49. 55% ( 166/335 ) , the differencewas statistically significant ( P < 0. 05 ) . CONCLUSIONS: The adverse reactions induced by traditional Chinese medicine injection are affected by many factors, which needs more clinic stress. Also, it is necessary to take the whole nursing countermeasures before, during and after medication.
