2016—2019年北京中医药大学东方医院中药注射剂致药品不良反应报告分析与探究  

Analysis on Adverse Drug Reaction Induced by Traditional Chinese Medicine Injections in Dongfang Hospital of Beijing University of Chinese Medicine from 2016 to 2019

作　　者：靳梦亚 李志远 曹俊岭 白洁[1] 刘红霞 JIN Mengya;LI Zhiyuan;CAO Junling;BAI Jie;LIU Hongxia(Dept. of Pharmacy, Dongfang Hospital of Beijing University of Chinese Medicine, Beijing 100078, China;Dept. of Traditional Chinese Medicine Pharmacy, Beijing Jishuitan Hospital, Beijing 100035, China)

机构地区：[1]北京中医药大学东方医院药学部,北京100078 [2]北京积水潭医院中药房,北京100035

出　　处：《中国医院用药评价与分析》2020年第8期1009-1012,共4页Evaluation and Analysis of Drug-use in Hospitals of China

基　　金：北京中医药大学2019青年教师项目(No.2019-JYB-JS-103)。

摘　　要：目的:探讨北京中医药大学东方医院(以下简称“该院”)中药注射剂致药品不良反应(adverse drug reaction,ADR)的发生规律、特点,为临床中药注射剂的合理应用提供参考依据。方法:采用回顾性分析方法,筛选2016—2019年该院符合要求的中药注射剂致ADR报告,记录相关信息,结合指南及文献进行分析。结果:共选取符合要求的中药注射剂致ADR报告52例,涉及12种药品,分为5大类,其中活血化瘀类中药注射剂致ADR病例数所占比例最大(23例,占44.23%);32.69%的患者(17例)存在联合用药情况;发生ADR的患者中,女性患者居多(35例,占67.31%),高峰年龄段>60岁(34例,占65.38%);中药注射剂致ADR可累及多个器官和(或)系统,主要为皮肤及其附件损害,其次为中枢及外周神经系统损害、全身性损害。结论:药师应积极正确干预中药注射剂的不合理应用问题,加强中药注射剂的ADR监测上报工作,保证患者的用药安全,促进临床合理用药。OBJECTIVE:To probe into the regularity and characteristics of adverse drug reactions(ADR)induced by traditional Chinese medicine(TCM)injections in Dongfang hospital of Beijing University of Chinese Medicine(hereinafter referred to as“our hospital”),so as to provides references for rational application of TCM injections.METHODS:Retrospective analysis was adopted to screen the reports of ADR induced by TCM injection that met the requirements during 2016-2019,record relevant information,conducted analysis according to the guidelines and literature.RESULTS:There were 52 reports of ADR induced by TCM injection that met the requirements,12 kinds of drugs were involved,which were divided into 5 categories,and the TCM injection of blood circulation-promoting and stasis-removing had induced the largest proportion of ADR cases(23 cases,44.23%);32.69%of patients(17 cases)had combined medication;among the patients with ADR,most were female(35 cases,67.31%),and the peak age group was over 60 years old(34 cases,65.38%);ADR caused by TCM injection can involve multiple organs and(or)systems,mainly were skin and its accessories damage,followed by central and peripheral nervous system damage,and systemic damage.CONCLUSIONS:Pharmacists should actively and correctly intervene in the irrational application of TCM injection,strengthen the monitoring and reporting of ADR induced by TCM injection,ensure medication safety and promote clinical rational medication.

关 键 词：中药注射剂 药品不良反应 合理用药 

分 类 号：R932[医药卫生—生药学]