心脑血管疾病用药与药物不良反应间的关联关系  

Association between cardiocerebrovascular drugs and adverse drug reactions

作　　者：冯变玲[1,2] 杨世民[2] 张抗怀[3] 蓝夏璐[2] 魏芬[2] 

机构地区：[1]天津大学药物科学与技术学院,天津300072 [2]西安交通大学医学院药学系,陕西西安710061 [3]西安交通大学医学院第二附属医院,陕西西安710004

出　　处：《中国新药与临床杂志》2011年第1期75-78,共4页Chinese Journal of New Drugs and Clinical Remedies

基　　金：西安交通大学医学创新基金资助项目(0203402)

摘　　要：目的寻找心脑血管疾病用药与药物不良反应间关联关系,为临床合理用药提供参考。方法以数据挖掘技术中的关联规则对广东省2004—2009年心脑血管疾病用药后出现的不良反应病例报告进行分析。采用支持度和置信度衡量关联规则的强度。结果共收集有效报告6 753份,三磷腺苷、脑蛋白水解物与寒战、发热间具有强关联,卡托普利与咳嗽间具有强关联。此外,脑蛋白水解物还与皮疹和瘙痒具有一定的关联关系,胞磷胆碱、曲克芦丁与过敏样反应具有一定的关联关系。结论心脑血管疾病用药的不良反应现象主要表现为寒战、发热、过敏样反应、皮疹、瘙痒、咳嗽和头痛,应关注三磷腺苷、脑蛋白水解物、卡托普利、胞磷胆碱的应用。AIM To identify the association between cardiocerebrovascular drugs and adverse drug reactions（ADR）,and provide a reference for clinical medication.METHODS Based on the data associated with the adverse reactions of cardiocerebrovascular drugs reported during 2004 -2009 from ADR Monitoring Center of Guangdong were analyzed.Apriori association rules were used in our research to conduct data analysis.Support and confidence were used to measure the strength of association rules.RESULTS A total of 6 753 effective cases were collected.Adenosine triphosphate and cerebroprotein hydrolysate had a strong association with shivering and fever.A strong association also existed between captopril and cough.Besides, cerebroprotein hydrolysate had some effects on skin rash and pruritus.Citicoline sodium and troxerutin could lead to anaphylactic reaction sometimes.CONCLUSION Shivering,fever,anaphylactic reaction,skin rash, pruritus,cough and the headache are the most common adverse reactions of cardiocerebrovascular drugs.The application of adenosine triphosphate,cerebroprotein hydrolysate,captopril and citicoline should be concerned.

关 键 词：心血管药物 数据分析 药物不良反应 关联关系研究 

分 类 号：R972[医药卫生—药品] R969.3[医药卫生—药学]