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机构地区:[1]成都市第六人民医院,成都市610051 [2]成都市木综厂职工医院,成都市610081 [3]四川省食品药品检验所,成都市610097
出 处:《中国药房》2011年第22期2077-2079,共3页China Pharmacy
摘 要:目的:探讨头孢米诺致药品不良反应(ADR)发生的特点及规律。方法:检索1990-2010年"中国医药期刊全文数据库"中有关头孢米诺临床应用及ADR个案报道的文献,得到符合条件的文献35篇共1474例,其中临床应用23篇1449例,个案报道12篇25例,并进行统计、分析、评价。结果:临床应用文献中,有84例记载ADR并分类,ADR发生率为5.80%,主要表现为消化系统反应(71.43%)、皮肤及其附件损害(19.05%)等。ADR个案报道为:急性肾损害(32.00%)、凝血障碍(20.00%)、皮肤及其附件损害(16.00%)等;以60岁以上的老年患者发生率最高(60.00%),约80.00%的ADR出现在用药3d后。结论:临床应重视头孢米诺引起的ADR,用药时应加强对患者的监护,以减少严重ADR的发生。OBJECTIVE: To investigate the characteristics and regularity of ADR induced by cefminox. METHODS: ADR case reports and literatures about application of cefminox were retrieved from CHKD during 1990-2010. A total of 35 related literatures involving 1 474 cases, in which there were 23 literatures about clinical application of 1 449 cases and 12 individual case reports of 25 cases were analyzed statistically. RESULTS: Among literatures about clinical application, there were 84 ADR cases and the incidence of ADR was 5.80%. The main clinical manifestation represented as digestive system(71.43%)and lesion of skin and its appendants(19.05%). In 25 individual cases, it was reported that acute kidney injury accounted for 32.00%, coagulation disorders accounted for 20.00%, lesion of skin and its appendants accounted for 16.00%. 60.00% were occurred in the patients aged over 60, 80.00% occurred after 3 days of medication. CONCLUSION: It is necessary to pay attention to ADR induced by cefminox in the clinic and strengthen observation during medication in order to reduce the serious ADR.
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