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目的分析中药汤剂不良反应原因并给出合理使用建议。方法回顾性分析2014年3月-2016年3月中药汤剂口服后出现不良反应患者60例的临床资料并对其不良反应的原因进行分析,并实施相关的对策。结果植物类中药汤剂导致患者出现不良反应的几率较高,与动物类和混合类相比,差异明显(P<0.05)。导致患者出现不良反应的原因主要包括:药物因素占33.33%,剂量过大占23.33%,个体差异占11.67%,疗程过长占11.67%,服用不当占6.67%,误服误用占6.67%,炮制不当占6.67%;其中药物因素、剂量过大是导致患者口服中药汤剂后出现不良反应的主要原因,与其他原因相比差异明显(P<0.05)。结论导致患者口服中药汤剂后出现不良反应的原因较多,主要为药物因素、剂量过大、个体差异等,临床为患者实施中药汤剂治疗的过程中,应加强患者不良反应情况的分析,实施相关的处理对策,从而减少中药汤剂不良反应发生率,保证患者用药的安全性。
Objective To analyze the causes of adverse reactions of traditional Chinese medicine decoction and to give reasonable suggestions on its use. Methods The clinical data of 60 patients with adverse reactions after oral administration of Chinese medicine decoction from March 2014 to March 2016 were retrospectively analyzed and the causes of adverse reactions were analyzed and the corresponding countermeasures were implemented. Results There was a higher incidence of side effects caused by plant decoction, which was significantly different from that of animals and mixed groups (P <0.05). The causes of adverse reactions in patients mainly include: drug factors accounted for 33.33%, overdose accounted for 23.33%, individual differences accounted for 11.67%, treatment duration was 11.67%, improper use accounted for 6.67%, wrong use of misuse accounted for 6.67% Improper processing accounted for 6.67%; of which drug factors, overdosing is the main reason leading to adverse reactions after oral administration of Chinese medicine decoction, compared with other causes (P <0.05). Conclusion There are many reasons that lead to adverse reactions after oral administration of traditional Chinese medicine decoction, mainly due to drug factors, overdosage, individual differences, etc. In the process of clinical decoction for Chinese patients, patients should be analyzed for adverse reactions, Implementation of the relevant countermeasures to reduce the incidence of adverse reactions of Chinese medicine decoction, to ensure the safety of patients medication.