第2代抗组胺药不良反应回顾性分析

目的:分析第2代抗组胺药所致不良反应的临床特征、相关因素,为临床用药提供参考依据。方法:检索1986～2006年国内文献库收载的第2代抗组胺药的不良反应资料,得到符合标准的病例128例,并按世界卫生组织(WHO)国际药品监测合作中心的不良反应分类方法进行分类、研究。结果:128例ADR报告中女性明显多于男性;不良反应以心血管系统损害最多(38例,占29.69%),其次为皮肤及其附件损害(36例,占28.13%)和全身性损害(20例,占15.63%);不良反应预后较好。结论:患者的性别、体质、合并用药等因素均能影响不良反应的发生,对于引起过敏性休克和心律失常的不良反应临床应提高警惕。

Retrospective Analysis on the Adverse Drug Reactions(ADR)Induced by Second Generation Antihistamine Drugs

OBJECTIVE:To analyze the clinical features and correlation factors of ADR caused by second generation antihistamine drugs for references of clinical rational drug use.METHODS:A total of 128 cases ADR cases induced by second generation antihistamine drugs that met our criteria were obtained by retrieving the domestic literature database between 1986 and 2006,which were categorized and analyzed in accordance with the ADR categorization stipulated by WHO international drug monitoring cooperation center.RESULTS:Of the 128 ADR cases,more were seen in male than in female,38 presented cardiovascular system lesions,accounting for 29.69%,followed by lesions of skin and its appendants(28.13%) and systemic reactions(20 cases,15.63%).However,the prognosis of these ADR was satisfactory.CONCLUSION:The ADR caused by second generation antihistamine drugs are associated to many factors such as patients’ sex and physical condition as well as drug combination etc.Clinic should be alert to such ADR such as allergic shock and arhythmia in patients treated with second generation antihistamine drugs.