中国药物警戒 ›› 2017, Vol. 14 ›› Issue (2): 102-104.

• 安全性评价与合理用药 • 上一篇    下一篇

浅谈捕获-再捕获法在药品不良反应发生率估计中的应用研究

韩飞1, 王国华1, 刘慧兰1, 李小黎1, 李兵2, 刘骏2, 王忠2, 鲁姝1*, 荆志伟2*   

  1. 1 北京中医药大学第三附属医院,北京 100029;
    2 中国中医科学院临床基础研究所,北京 100700
  • 收稿日期:2016-12-01 修回日期:2017-03-10 出版日期:2017-02-20 发布日期:2017-03-10
  • 通讯作者: 鲁姝,女,本科,主管药师,临床药学。E-mail:lushu20111102@126.com
  • 作者简介:韩飞,女,硕士,医师,中医内科。
  • 基金资助:
    国家自然科学基金面上项目(81473514):中药注射剂不良反应随机森林信号模型建立及免疫毒理学评价方法研究

Application of Capture-recapture in the Assessment for the Incidence of Adverse Drug Reactions

HAN Fei1, WANG Guo-hua1, LIU Hui-lan1, LI Xiao-li1, LI Bing2, LIU Jun2, WANG Zhong2, LU Shu1,*, JING Zhi-wei2,*   

  1. 1 The Third Affiliated Hospital, Beijing University of Chinese Medicine, Beijing 100029, China;
    2 China Academy of Traditional Chinese Medical Sciences, Beijing 100700, China
  • Received:2016-12-01 Revised:2017-03-10 Online:2017-02-20 Published:2017-03-10

摘要: 目的 探讨捕获-再捕获(capture-recapture,CR)法在药品不良反应(adverse drug reaction,ADR)发生率估计中的应用,更准确地监测ADR发生率,为进一步促进我国药品不良反应监测工作提供思路和参考。方法 运用数理统计学方法阐述CR法的原理、应用条件,并通过案例分析其在ADR发生率估计中的作用及存在问题。结果 与结论 CR 法适合在多个大样本监测到不同ADR发生率的基础上,对ADR总数及发生率进行估计,能进一步明确ADR发生率,为监测不良反应发生率提供实效性方法,值得在不良反应监测研究中推广应用。

关键词: 捕获-再捕获法, 药品不良反应, 发生率

Abstract: Objective To discuss the application of capture-recapture (CR) method in the assessment for the incidence of ADR, and get a more accurate monitoring of the incidence of ADR, in order to provide thought and references for the promotion of ADR monitoring in China.Methods Using the mathematical statistics method to review the principle, and application condition of CR method, and through the case-analysis,it is revealed the role of CR method in the incidence of ADR estimation and some problems about CR method.Results & ConclusionCR method is appropriate for many big databases which can monitor different incidence of ADR.It is the effective method that can estimate the total incidence of ADR and make sure of the incidence of adverse reactions, which is worthy of applying in the research of ADR monitoring.

Key words: capture-recapture method, adverse drug reaction, incidence of adverse reaction

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