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2006年深圳市药品不良反应报告回顾性分析
引用本文:徐玉红,吴斌,李玉珍,曾繁涛,李成.2006年深圳市药品不良反应报告回顾性分析[J].中国药房,2007,18(26):2052-2054.
作者姓名:徐玉红  吴斌  李玉珍  曾繁涛  李成
作者单位:1. 深圳市第四人民医院,深圳市,518033
2. 深圳市药品不良反应监测中心,深圳市,518034
摘    要:目的:为深入开展ADR监测工作提供依据。方法:下载2006年深圳市各单位上报的且经省中心评价的ADR报告表,对有关数据进行进行频数分析;以用药时间、ADR发生时间、转归时间来评价ADR过程记录的完整性;采用对比方式进行关联性评价。结果:3 303份ADR报告涉及的药品有19类,共465种。抗微生物药、中成药品种数及其所致ADR例数位居前列;ADR累及的器官或系统主要为皮肤及其附件,其次为消化系统;静脉滴注导致的ADR例次最多;绝大多数ADR转归良好;新的、严重的ADR上报较少。结论:应加强上报人员的培训工作,增强ADR呈报意识和责任感,以提高ADR报告质量;应对医师的处方行为进行适当干预,以减少ADR的发生。

关 键 词:药品不良反应  统计  回顾性分析  质量评估
文章编号:1001-0408(2007)26-2052-03
收稿时间:2007-04-27
修稿时间:2007-05-13

Retrospective Analysis of ADR Cases Reported in 2006 in Shenzhen
XU Yuhong,WU Bin,LI Yuzhen,ZENG Fantao,LI Cheng.Retrospective Analysis of ADR Cases Reported in 2006 in Shenzhen[J].China Pharmacy,2007,18(26):2052-2054.
Authors:XU Yuhong  WU Bin  LI Yuzhen  ZENG Fantao  LI Cheng
Abstract:OBJECTIVE: To analyze the basic data of adverse drug reactions(ADR) and assess the quality of ADR reports submitted in 2006 in Shenzhen,and to provide bases for ADR monitoring.METHOD: The electronic forms of ADR cases reported in 2006 by different units in Shenzhen that had been subjected to the evaluation of Guangdong provincial center were downloaded,and the related data were subjected to frequency analysis.The three time points(duration of medication,onset time of ADR,turnover time) were used to evaluate the integrity of ADR process recording,and the relevance was evaluated by means of contrast.RESULTS: 19 drug categories and total 465 kinds of medicines were involved in 3 303 ADR cases.The categories of antimicrobials and Chinese herbal preparations and ADR cases induced by these drugs ranked at the first and second among all the drugs.The lesions of ADR involved primarily skin and its accessories,followed by gastrointestinal system.Most ADR cases were caused thorough intravenous route of administration.The majority ADR cases had a favorable turnover.New and severe ADR reports were few.The qualities of most reports were poor.CONCLUSION: The training program for ADR reporters should be strengthened;ADR reporters' reporting awareness and responsibility should be strengthened to enhance ADR reporting quality,and physicians' prescribing behavior should be intervened properly so as to reduce the incidence of ADR.
Keywords:Adverse drug reaction  Statistics  Retrospective analysis  Quality assessment
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