68例药品不良反应报告  

68 Cases of Adverse Drug Reaction Reports

作　　者：张会娥[1] 汪友兰[1] 党玉梅[1] 

机构地区：[1]孝感市中心医院消毒供应中心,湖北孝感432000

出　　处：《中国医院用药评价与分析》2016年第5期682-683,共2页Evaluation and Analysis of Drug-use in Hospitals of China

摘　　要：目的:了解孝感市中心医院(以下简称"我院")门诊药品不良反应(adverse drug reaction,ADR)的发生特点及护理对策。方法:对我院门诊2014年68例ADR患者的年龄、引发ADR的药品种类、给药途径等进行统计。结果:≤12岁年龄段中ADR发生率较高,达39.7%,提示儿童为ADR高发人群;68例患者中,44例(占64.7%)ADR患者均为抗菌药物引起,主要表现为胃肠道不适、皮疹、发热;静脉滴注药品ADR发生率最高,达85.3%(58/68)。结论:我院门诊药品ADR的发生在患者年龄、应用药物种类、给药途径等方面均具有明显特点,可通过加强对儿童及老年人的用药过程监测、慎重选用抗感染药、确定合适给药途径等措施,提高门诊用药安全性。OBJECTIVE： To investigate the characteristics and nursing measures of adverse drug reactions（ ADRs）in outpatient department of the Central Hospital of Xiaogan（ hereinafter referred to as ＂our hospital＂）. METHODS：Statistical analysis was conducted on 68 cases of ADRs in outpatient department of our hospital in 2014,in terms of patients＇ age,categories of ADR-inducing drugs and route of administration,etc.. RESULTS： The incidence of ADRs in patients ≤12 years old was relatively high（ 39. 7%）,which indicated that children were the high-risk group of ADRs. Of the 68 cases,44 patients（ 64. 7%） with ADRs were induced by antibiotics,and the main manifestations were gastrointestinal discomfort,skin rash and fever. The incidence of ADR of intravenous infusion drugs was the highest [85. 3%（ 58 /68） ]. CONCLUSIONS： There were obvious characteristics of patients＇ age,categories of used drugs and route of administration,etc.. By strengthening the medication process monitoring in children and the elderly,careful selection of antibiotics and appropriate route of administration,the medication safety would be improved in patients.

关 键 词：门诊 药品ADR 对策 给药途径 抗感染药 

分 类 号：R969.3[医药卫生—药理学]