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目的探讨麒麟社区卫生服务中心40例药品不良反应监测报告进行分析。方法选取南京市江宁区麒麟社区卫生服务中心2010年1月至2012年1月呈报的40例ADR报告为资料,分别评价、分析和统计患者的临床表现、基本概况、以及致ADR的药物分布等。结果 40例ADR涉及19个品种、6大类,其中首位为抗感染药物引起,有20例(50.0%);其次为维生素类药物4例(10.0%)、水电解质类药物6例(15.0%)、含碘造影剂7例(17.5%)等。ADR涉及的器官系统为皮肤,临床表现多为各种寒战、发热、瘙痒、皮疹,其次为神经系统反应、心血管系统反应、消化系统反应等。抗感染药物和含碘造影剂是ADR发生率前2位药物。结论要高度重视药品不良反应问题,及时监测、及时分析,以便确保广大人民群众的身体健康。
Objective To investigate 40 adverse drug reaction monitoring reports of Kirin Community Health Service Center. Methods 40 cases of ADR reported by Kirin Community Health Service Center in Jiangning District, Nanjing from January 2010 to January 2012 were selected as the data to evaluate, analyze and count the clinical manifestations, basic situation and drug distribution of ADR . Results 40 cases of ADR involved in 19 varieties and 6 categories, of which the first was caused by anti-infective drugs, 20 cases (50.0%); followed by vitamin drugs in 4 cases (10.0%), water and electrolyte drugs in 6 cases (15.0% ), Iodine contrast agent in 7 cases (17.5%) and so on. ADR involved the organ system for the skin, the clinical manifestations of a variety of chills, fever, itching, rash, followed by the nervous system reaction, cardiovascular system reaction, digestive system reaction. Anti-infectives and iodine-containing contrast agents are the top two drugs for the incidence of ADR. Conclusion It is necessary to attach great importance to the adverse drug reaction problems, timely monitoring and timely analysis in order to ensure the general public’s health.