头孢曲松钠与左氧氟沙星不良反应主动监测数据分析
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篇名: 头孢曲松钠与左氧氟沙星不良反应主动监测数据分析
TITLE:
摘要: 目的:探讨头孢曲松钠注射剂与左氧氟沙星注射剂的不良反应(ADR)发生率及一般规律。方法:采用前瞻性主动监测模式,监测并记录2013年3-9月我市4家哨点医院住院部所有使用头孢曲松钠注射剂与左氧氟沙星注射剂的患者相关信息,并对性别、年龄、用药时间和药品剂型、累及器官/系统及临床表现等相关因素进行统计与分析,计算ADR发生率。结果:头孢曲松钠注射剂的总体ADR发生率为0.23%(3/1 318);左氧氟沙星注射剂的总体ADR发生率为0.82%(7/851),女性患者使用左氧氟沙星注射剂后ADR发生率较男性患者高,差异有统计学意义(P<0.05);两者ADR发生率与患者年龄、用药时间、药品剂型等因素均关系不大,组内比较差异无统计学意义(P>0.05);ADR致皮肤及其附件损害最多,占53.33%;所有病患转归情况均为治愈或好转。结论:主动监测模式有利于计算ADR发生率。临床医师在使用头孢曲松钠和左氧氟沙星时应关注ADR的发生。
ABSTRACT: OBJECTIVE: To investigate the safety of Ceftriaxone sodium injection and Levofloxacin injection through obtaining relevant data of the incidence of ADR. METHODS: By using prospective active monitoring mode, all patients that took Ceftriaxone sodium injection and Levofloxacin injection in the inpatient department of 4 pilot hospitals during Mar.-Sept. 2013 were monitored, recorded and analyzed statistically in respects of gender, age, medication duration, dosage form, involved organs and clinical manifestations, etc. Then calculate the incidence of ADR. RESULTS: Total incidence of ADR induced by Ceftriaxone sodium injection was 0.23%(3/1 318), and that of Levofloxacin injection was 0.82%(7/851). The incidence of ADR in female patients was higher than in male patients after given Levofloxacin injection, there was statistical significance (P<0.05). There was no statistical significance in the occurance of ADR and gender, timing, preparation et al. Lesion of skin and its appendants was main ADR manifestations, accounting for 53.33%. All patients were cured or recovered. CONCLUSIONS: Active monitoring mode is benefit to calculate the incidence of ADR. Clinicians should pay attation to the occurrence of ADR.
期刊: 2016年第27卷第11期
作者: 罗万婷,温润龙,李亮华
AUTHORS: LUO Wanting,WEN Runlong,LI Lianghua
关键字: 国家基本药物;药品不良反应;发生率;头孢曲松钠;左氧氟沙星;主动监测模式
KEYWORDS: National essential medicine; ADR; Incidence; Ceftriaxone sodium; Levofloxacin; Active monitoring mode
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