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目的了解我院药品不良反应(ADR)发生情况及规律,并分析原因,促进临床合理用药。方法对我院2008年至2010年上报的ADR报告分别就患者性别、年龄、不良反应类型、药品种类、严重程度分级等方面进行回顾性分析。结果在1 141例ADR中,女性患者发生较多(652例,占57.14%);中老年人发生居多;给药途径以静脉滴注和口服给药为主,分别为48.32%和47.70%;抗感染类药物所占比例较多,占52.46%;ADR临床表现以皮肤及其附件损害最常见。ADR严重程度分级多为一般,结果多为治愈或好转。结论应重视ADR监测工作,加强对患者用药过程观察,保证患者用药安全、合理,减少ADR的发生。
Objective To understand the occurrence and regularity of drug adverse reactions (ADR) in our hospital and to analyze the causes and promote the rational use of drugs. Methods A retrospective analysis of the ADRs reported in our hospital from 2008 to 2010 were made on the aspects of patient’s sex, age, type of adverse reactions, types of drugs, grading of severity and so on. Results In 1 141 ADR cases, there were more female patients (652 cases, accounting for 57.14%); the middle-aged and the elderly were the most frequent; the routes of administration were mainly intravenous drip and oral administration, accounting for 48.32% and 47.70% respectively; Anti-infective drugs accounted for a larger proportion, accounting for 52.46%; ADR clinical manifestations of damage to the skin and its attachments are the most common. ADR severity grading mostly, the result is mostly cured or improved. Conclusions Should pay attention to ADR monitoring, to strengthen the observation of the patient medication process to ensure that patients medication safe and reasonable, reduce the occurrence of ADR.