中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
7期
14-15
,共2页
药物不良反应%合理用药%临床用药监测
藥物不良反應%閤理用藥%臨床用藥鑑測
약물불량반응%합리용약%림상용약감측
Adverse drug reaction%The rational use of drugs%Clinical drug monitoring
目的：针对本院2014年上半年发生的药物不良反应进行分析总结，分析药物不良反应发生的特点、临床表现及其构成比例，为医院临床安全用药、合理用药提供参考。方法：对本院2014年上半年发生的药物不良反应进行收集、整理、汇总、分析，分别以患者的性别、年龄、药物不良反应的临床表现、反应类型以及严重程度，发生药物不良反应的药物品种、给药途径等为指标进行统计归纳分析。结果：本院2014年上半年发生的药物不良反应中，以中青年为主要人群，占总例数60.52%。所涉及药物不良反应药物品种27种，其中抗菌药物9种，占药品总数33.33%，中药注射剂7种，占药品总数25.92%，以静脉滴注为给药途径发生的比例最高，占总数94.73%。临床表现形式以对皮肤及附件的损害最多，占总例数33.33%。结论：为保障医院安全用药、合理用药，应加强和规范抗菌药物以及中药注射剂的使用，辨证施治，严格按照药品说明书规范使用，药物不良反应的发生与多种因素相关，临床药师及医护人员共同加强对患者的用药监护，加强药物不良反应监测工作有助于减少药物不良反应的发生。
目的：針對本院2014年上半年髮生的藥物不良反應進行分析總結，分析藥物不良反應髮生的特點、臨床錶現及其構成比例，為醫院臨床安全用藥、閤理用藥提供參攷。方法：對本院2014年上半年髮生的藥物不良反應進行收集、整理、彙總、分析，分彆以患者的性彆、年齡、藥物不良反應的臨床錶現、反應類型以及嚴重程度，髮生藥物不良反應的藥物品種、給藥途徑等為指標進行統計歸納分析。結果：本院2014年上半年髮生的藥物不良反應中，以中青年為主要人群，佔總例數60.52%。所涉及藥物不良反應藥物品種27種，其中抗菌藥物9種，佔藥品總數33.33%，中藥註射劑7種，佔藥品總數25.92%，以靜脈滴註為給藥途徑髮生的比例最高，佔總數94.73%。臨床錶現形式以對皮膚及附件的損害最多，佔總例數33.33%。結論：為保障醫院安全用藥、閤理用藥，應加彊和規範抗菌藥物以及中藥註射劑的使用，辨證施治，嚴格按照藥品說明書規範使用，藥物不良反應的髮生與多種因素相關，臨床藥師及醫護人員共同加彊對患者的用藥鑑護，加彊藥物不良反應鑑測工作有助于減少藥物不良反應的髮生。
목적：침대본원2014년상반년발생적약물불량반응진행분석총결，분석약물불량반응발생적특점、림상표현급기구성비례，위의원림상안전용약、합리용약제공삼고。방법：대본원2014년상반년발생적약물불량반응진행수집、정리、회총、분석，분별이환자적성별、년령、약물불량반응적림상표현、반응류형이급엄중정도，발생약물불량반응적약물품충、급약도경등위지표진행통계귀납분석。결과：본원2014년상반년발생적약물불량반응중，이중청년위주요인군，점총례수60.52%。소섭급약물불량반응약물품충27충，기중항균약물9충，점약품총수33.33%，중약주사제7충，점약품총수25.92%，이정맥적주위급약도경발생적비례최고，점총수94.73%。림상표현형식이대피부급부건적손해최다，점총례수33.33%。결론：위보장의원안전용약、합리용약，응가강화규범항균약물이급중약주사제적사용，변증시치，엄격안조약품설명서규범사용，약물불량반응적발생여다충인소상관，림상약사급의호인원공동가강대환자적용약감호，가강약물불량반응감측공작유조우감소약물불량반응적발생。
Objective:In view of the adverse drug reaction in our hospital in the first half of 2014 occurred were analyzed and summarized,the analysis of the characteristics of occurrence of adverse drug reactions,clinical manifestation and its proportion provides a reference for clinical safe medication and rational use of drug.Methods:The adverse drug reaction that occurred in our hospital in the first half of 2014 were collected,sorted,analyzed and summarized,respectively by the patient's gender,age,the clinical manifestations of the adverse drug reactions,reaction type and severity,the variety of which occur adverse drug reaction, routes of administratio as the indicators for statistical inductive analysis.Results:The patients with adverse drug reactions in our hospital during the first half of 2014 were mostly middle age and young people,the total number of cases was 60.52%.Adverse drug reactions involved 27 kinds of drug variety,including 9 kinds of antibacterial drugs,accounting for 33.33% of the total number of drugs,7 kinds of Chinese medicine injection,accounting for 25.92% of the total number of drugs,intravenous route of administration occurred for the highest proportion,accounting for 94.73% of the total.The clinical manifestation of adverse drug reactions were most with the damage to the skin and accessories,accounting for 33.33% of the total cases.Conclusion:In order to ensure the security of hospital drug use and rational drug use,the use of antibacterial drugs and traditional Chinese medicine injections should be strengthened and standardized,treated according to the clinical manifestation,used in strict accordance with the norms of drug instructions.Adverse drug reactions are related to many factors,clinical pharmacists and medical staff should strengthen the monitoring of patients with medication together,strengthen the monitoring of adverse drug reaction helps to reduce the incidence of adverse drug reactions.
