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257例抗肿瘤药致药品不良反应报告

尹寿祥 鲁微

中国医院用药评价与分析2017,Vol.17Issue(6):843-845,3.
中国医院用药评价与分析2017,Vol.17Issue(6):843-845,3.DOI:10.14009/j.issn.1672-2124.2017.06.043

257例抗肿瘤药致药品不良反应报告

257 Cases of Adverse Drug Reactions Induced by Antineoplastic Drugs

尹寿祥 1鲁微1

作者信息

  • 1. 马鞍山市人民医院药事科,安徽 马鞍山 243000
  • 折叠

摘要

Abstract

OBJECTIVE:To investigate the incidence of adverse drug reactions(ADR)induced by antineoplastic drugs in People's Hospital ofmaanshan(hereinafter referred to as "our hospital"),so as to provide reference for clinical drug use.METHODS:Retrospective analysis was conducted on 257 cases of ADR induced by antineoplastic drugs during 2015-2016 in terms of gender and age,drug categories,administration route,involved organs and(or)systems and prognosis,etc.RESULTS:Of the 257 ADR cases,males were slightly more than females,the ratio of patients aged ≥50 years old with ADR was relatively high;there were 6 kinds of antineoplastic drugs involved,including 31 categories,cases of ADR induced by antineoplastic drugs and adjuvant therapy took the lead(119 cases,46.31%),followed by antineoplastic drugs of species source(52 cases,20.13%)and antimetabolites(50 cases,19.46%).The top 3 drugs were respectively oxaliplatin(44 cases,17.12%),cis-platinum(31 cases,12.06%)and gemcitabine(23 cases,8.95%).ADR induced by intravenous drip dominated the first place(233 cases,90.66%),followed by oral medication(12 cases,4.67%).ADR involved organs and(or)systems in 280 cases,and the most common were digestive system(114 cases,40.71%),hematological system(70 cases,25.00%)and skin and its accessories(43 cases,15.36%).Cases of general ADR and severe ADR took the lead,after timely withdrawal and expectant treatment,patients were cured or recovered,without any death cases.CONCLUSIONS:The clinic should strengthen the monitoring of ADR induced by antineoplastic drugs and cooperation of medical,pharmacy and patient,establish the good doctor-patient relationship,increase the medication compliance of patients,so as to reduce the incidence of ADR and promote the rational drug application in clinic.

关键词

抗肿瘤药/药品不良反应/分析/监测

Key words

Antineoplastic agents/Adverse drug reactions/Analysis/Monitoring

分类

医药卫生

引用本文复制引用

尹寿祥,鲁微..257例抗肿瘤药致药品不良反应报告[J].中国医院用药评价与分析,2017,17(6):843-845,3.

中国医院用药评价与分析

OACSTPCD

1672-2124

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