中国药物警戒 ›› 2013, Vol. 10 ›› Issue (4): 228-231.

• 药械安全性研究 • 上一篇    下一篇

400例老年人严重药品不良反应病例分析

沈芊,刘琛,王育琴   

  1. 首都医科大学宣武医院药剂科,北京 100053
  • 收稿日期:2016-03-09 修回日期:2016-03-09 出版日期:2013-04-08 发布日期:2016-03-09
  • 通讯作者: 王育琴,女,主任药师,教授。E-mail:yuqwang@sina.com
  • 作者简介:沈芊,女,硕士,副主任药师,老年人合理用药。

Analysis of 400 Serious ADR Reports in the Elderly

SHEN Qian, LIU Chen ,WANG Yu-qin   

  1. Pharmacy Departemt of Xuanwu Hospital, Capital Medical University, Beijing 100053, China
  • Received:2016-03-09 Revised:2016-03-09 Online:2013-04-08 Published:2016-03-09

摘要: 目的 分析造成老年人严重药品不良反应的风险因素,为制定老年人高风险用药目录及其风险管理的评价指标提供参考。方法 采用回顾性的研究方法,对北京市药品不良反应监测中心2009 年1 月~2011 年6 月收集到的老年人严重药品不良反应报告进行综合分析。结果 老年人严重药品不良反应涉及的药品以抗感染药物、抗肿瘤药物、中药制剂、中枢神经系统用药和循环系统用药居前5位;给药途径以静脉滴注为最多,其次为口服用药;不良反应累及系统- 器官以皮肤及其附件损害为最多、其次为全身性损害和肝胆系统损害。结论 老年人严重药品不良反应分析可以为老年人用药风险与管理的评估指标提供参考,但哪些药品对老年人具有较高风险还有待进一步研究。

关键词: 严重药品不良反应, 老年人, 评价指标

Abstract: Objective To analyze the risk factors of serious adverse drug reactions(ADR) in the elderly, and providea reference for developing the elderly high -risk medication catalog and its management. Methods 400 serious ADR reports of the elderly patients collected by Beijing ADR Monitoring Center from January 2009 to June 2011 were analyzed retrospectively. Results The Results show the most serious ADR of the elderly patients involved the anti-infective drugs, anticancer drugs, traditional Chinese medicine, central nervous system drugs and circulatory system drugs. The main routes of administration in the eldly patients were intravenous infusion and oral administration. The main types of serious ADR were the skin and its appendages damage, systemic damage and hepatobiliary system damage. Conclusion The serious ADR analysis can provide reference for the management and assessment of medication risks in the elderly patients, but which drugs have a highrisk for the elderly need the further study.

Key words: serious adverse drug reactions, the elderly, evaluation indicator

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