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Which Is Safer,Chinese Medicine or Western Medicine?Comparative Analysis Based on Chinese Spontaneous Reporting Database
作者姓名:WEI Jian-xiang  LU Zhi-qiang  FENG Guan-zhong  ZHU Yun-xia
作者单位:School of Management;School of Internet of Things
基金项目:the Major Project of Philosophy and Social Science Research in Jiangsu Universities(No.2020SJZDA102);the Postgraduate Research&Practice Innovation Program of Jiangsu Province(No.SJCX20_0223)。
摘    要:
Objective:To compare the safety differences between Chinese medicine(CM)and Western medicine(WM)based on Chinese Spontaneous Reporting Database(CSRD).Methods:Reports of adverse events(AEs)caused by CM and WM in the CSRD between 2010 and 2011 were selected.The following assessment indicators were constructed:the proportion of serious AEs(PSE),the average number of AEs(ANA),and the coverage rate of AEs(CRA).Further comparisons were also conducted,including the drugs with the most reported serious AEs,the AEs with the biggest report number,and the 5 serious AEs of interest(including death,anaphylactic shock,coma,dyspnea and abnormal liver function).Results:The PSE,ANA and CRA of WM were 1.09,8.23 and 2.35 times higher than those of CM,respectively.The top 10 drugs with the most serious AEs were mainly injections for CM and antibiotics for WM.The AEs with the most reports were rash,pruritus,nausea,dizziness and vomiting for both CM and WM.The proportions of CM and WM in anaphylactic shock and coma were similar.For abnormal liver function and death,the proportions of WM were 5.47 and 3.00 times higher than those of CM,respectively.Conclusion:Based on CSRD,CM was safer than WM at the average level from the perspective of adverse drug reactions.

关 键 词:Chinese  medicine  Western  medicine  data  analysis  adverse  drug  reaction  drug  safety
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