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目的阐述哮喘药物治疗的风险事件、风险因素及风险的处理。方法列举临床实际案例,分析药物治疗中存在的一些问题,从中反映出药物治疗的风险及其处理。结果哮喘药物治疗风险事件表现在治疗无效/效果不佳、药物不良反应及用药差错等;造成风险的因素包括药物因素、病情因素、患者因素、用药因素及管理因素等;评估风险事件发生的概率及其严重程度,以及比较疾病风险和药物治疗风险是全面评估风险必不可少的。结论药物治疗的风险无处不在,首先尽量避免风险,对于不能避免的风险,则尽量选择风险小的治疗方案,并采取措施减少风险事件发生的可能性及不良后果的严重程度。
Objective To describe the risk events, risk factors and risk management of asthma medication. The methods enumerated the actual cases of clinical analysis of some problems in the drug treatment, which reflects the risk of drug treatment and its handling. Results The risk events of asthma medication showed ineffective / ineffective treatment, adverse drug reactions and medication errors. The factors that caused the risk include drug factors, disease factors, patient factors, medication factors and management factors. The risk of events Their severity, and comparison of disease risk and drug treatment risk are essential for a comprehensive assessment of risk. Conclusions The risk of drug treatment is ubiquitous. First, the risk should be avoided as far as possible. As for the unavoidable risk, we should try our best to choose the treatment program with low risk and take measures to reduce the possibility of the risk event and the seriousness of the adverse consequences.