中国药物警戒 ›› 2016, Vol. 13 ›› Issue (4): 229-232.

• 安全性评估与合理用药 • 上一篇    下一篇

119例英夫利西单抗不良反应的文献分析

李峰,晋红中   

  1. 北京协和医院皮肤科,北京 100730
  • 收稿日期:2016-03-06 修回日期:2016-06-30 出版日期:2016-04-20 发布日期:2016-06-30
  • 通讯作者: 晋红中,男,博士,主任医师·博导,皮肤性病学。E-mail:jinhongzhong@263.net
  • 作者简介:李峰,女,博士,主治医师,皮肤性病学。

Literature Analysis of 119 Cases of Adverse Drug Reactions Induced by Infliximab

LI Feng, JIN Hong-zhong   

  1. Department of Dermatology, Peking Union Medical College Hospital,Beijing 100730, China
  • Received:2016-03-06 Revised:2016-06-30 Online:2016-04-20 Published:2016-06-30

摘要: 目的 探讨英夫利西单抗不良反应的特点,为临床安全用药提供参考。方法 在中国期刊全文数据库和万方数据库中,检索2008~2015年之间公开发表的关于英夫利西单抗不良反应的文献,对筛选出的119例病例进行回顾性分析。结果 原患疾病主要包括类风湿性关节炎、强直性脊柱炎、溃疡性结肠炎、克罗恩病、银屑病/银屑病性关节炎、幼年特发性关节炎。不良反应最易发生于第3~4次输液期间。输液反应最常见,常累及的系统-器官主要包括皮肤黏膜(29.49%)、呼吸系统(30.77%)、消化系统(14.10%)、心血管系统(10.26%)等。多数药品不良反应预后良好。结论 英夫利西单抗药品不良反应累及多个系统-器官,须提高警惕,注意监测,及时处理。

关键词: 英夫利西单抗, 药品不良反应, 文献分析

Abstract: Objective To explore the general characteristics of adverse drug reactions induced by infliximab, and provide reference for safe and rational use of infliximab. Methods The articles about infliximab adverse reactions published from 2008 to 2015 in Wanfang and CNKI databases were searched, and the 119 cases documented by the articles were reviewed retrospectively. Results Primary diseases include rheumatoid arthritis, ankylosing spondylitis, ulcerative colonitis, Crohn’s disease, psoriasis, and juvenile idiopathic arthritis. Most adverse reactions occurred during the 3rd and 4th treatments. Infusion reactions were the most common. Skin, respiratory system, digestive system and coronary vascular system were often involved. Prognosis of most adverse reactions were good. Conclusion Adverse drug reactions induced by infliximab involve multiple systems and organs. Vigillance, surveillance and quick management are required.

Key words: infliximab, adverse drug reactions, literature analysis

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