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目的:探析抗糖尿病药物所产生的临床不良反应的原因及规律。方法:选取2009年1月至2013年1月期间在我院采用抗糖尿病药物治疗产生不良反应的124例患者为研究对象,对其病理进行回顾性分析。结果:在124例应用抗糖尿病药物所致临床不良反应的患者中,不合理用药的患者为54例(43.55%),联合用药的患者为70例(56.45%)。不良反应发生的主要临床表现主要以低血糖为主,即共有82例(64.51%)的患者发生低血糖。115例(92.74%)患者经治疗后痊愈好转,有9例(7.26%)患者较为严重导致死亡或者致残。结论:患者使用抗糖尿病药物时要结合患者的自身情况,慎重考虑药物的品种、用法及剂量等因素,要做到合理用药治疗,减量降低不良反应的发生。
Objective: To analyze the causes and laws of clinical adverse reactions caused by antidiabetic drugs. Methods: A total of 124 patients with adverse reactions in our hospital from January 2009 to January 2013 were treated with antidiabetic drugs. The pathological changes were retrospectively analyzed. Results: Of the 124 patients with clinical adverse reactions due to antidiabetic drugs, 54 (43.55%) were irrational and 70 (56.45%) patients received combination therapy. The main clinical manifestations of adverse reactions mainly hypoglycemia, that a total of 82 patients (64.51%) patients with hypoglycemia. One hundred and fifteen patients (92.74%) recovered after treatment, and nine (7.26%) patients were more likely to die or become disabled. Conclusions: When using antidiabetic drugs, patients should consider the variety, usage and dosage of drugs in consideration of the patient’s own condition. Rational treatment should be done to reduce the incidence of adverse reactions.