中国药物警戒 ›› 2018, Vol. 15 ›› Issue (3): 163-168.

• 安全与合理用药 • 上一篇    下一篇

肉桂成方制剂用药规律及不良反应文献分析

纪越, 王拓然, 张可欣, 周子钧, 刘玉璇   

  1. 天津中医药大学,天津 300193
  • 收稿日期:2017-10-16 修回日期:2018-05-04 出版日期:2018-03-20 发布日期:2018-05-04
  • 通讯作者: 刘玉璇,男,博士,教授·硕导,中药毒理学与临床药品不良反应。E-mail:lsrlyx@2008.126.com

Literature Analysis of the Regularity and Adverse Reaction of Cinnamon and Its Prescription Preparations

JI Yue, WANG Tuo-ran, ZHANG Ke-xin, ZHOU Zi-jun, LIU Yu-xuan   

  1. School of Tianjin University of Chinese Medicine, Tianjin 300193, China
  • Received:2017-10-16 Revised:2018-05-04 Online:2018-03-20 Published:2018-05-04

摘要: 目的 归纳肉桂成方制剂用药规律并分析相关不良反应文献,为诊疗合理用药提供借鉴。方法 遴选《中华药典》(2015版)和《方剂学》(“十二五”第2版)中含肉桂(油)成药制剂并检索1962—2017年中国期刊全文数据库(CNKI)收录相关药品不良反应/事件案例。结果 收集含肉桂方剂50首、单方制剂1种、中成药285种、不良反应/事件30例。2000—2009年间分布较多(40.7%),其类型多为A型,提示有可预测性和剂量依赖性的特点。青、中年患者群中事件发生率较高(80% ),主要影响皮肤及附件、感官系统;高频发生于用药60 min内、用药3~7 d、以及用药数月至半年内此3个服药周期中。结论 不良反应发生原因主要与配伍、辨证、滥用误用及职业病因素有关。

关键词: 肉桂, 成药, 用药规律, 不良反应

Abstract: Objective To summarize the drug prescription of cinnamon and to analyze the related (Adverse drug reactions; ADR), and to provide reference for the rational use of drugs for diagnosis and treatment. Methods Cinnamon (oil) preparations were selected from the Chinese pharmacopoeia (2015 edition) and "Pharmacology of traditional Chinese medicine" ("Twelfth Five-Year", second edition) and retrieved from the 1962-2017 China Journal Full-Text Database (CNKI) and statistically relevant adverse drug reactions was calculated. Results A total of 50 cinnamon prescriptions, 1 single preparation, 285 proprietary Chinese medicines, and 30 adverse reactions were collected. Between 2000 and 2009 there were more distributions (40.7%); Most of the adverse reactions were type A, suggesting a predictable and dose-dependent characteristic. The incidence of reaction in the young and middle-aged patients was high (80%), mainly affecting the skin and its accessories and sensory system. The high frequency occurred within 60 minutes of drug use, 3 ~ 7 days of drug use, within 3 months of drug use and several months to six months of drug use. Conclusion The main causes of adverse reactions are related to compatibility, syndrome differentiation, abuse, misuse, and occupational diseases. Conclusion The reasons of ADR are mainly related to herb compatibility, wrong syndrome differentiation, misuse and occupational disease.

Key words: Cinnamon, Chinese patent medicine preparation, regularity, adverse drug reaction

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