中国药物警戒 ›› 2017, Vol. 14 ›› Issue (11): 691-696.

• 安全性评价与合理用药 • 上一篇    下一篇

63例复方脂溶性维生素注射制剂不良反应文献分析

崔小康1, 吴世福1, 李玉基1, 田月洁1*, 路长飞1, 翟淑越2   

  1. 1 山东省药品不良反应监测中心,山东 济南 250013;
    2 淄博市药品不良反应监测中心,山东 淄博 255000
  • 收稿日期:2017-12-26 修回日期:2017-12-26 出版日期:2017-11-20 发布日期:2017-12-26
  • 通讯作者: *田月洁,男,硕士,主任药师,药品不良反应监测与药品风险管理。E-mail:tyuejie@msn.com
  • 作者简介:崔小康,女,硕士,主管药师,药品不良反应监测。

Literature Analysis of 63 Cases of Adverse Drug Reactions Induced by Compound Fat-soluble Vitamin for Injection

CUI Xiao-kang1, WU Shi-fu1, LI Yu-ji1, TIAN Yue-jie1,*, LU Chang-fei1, ZHAI Shu-yue2   

  1. 1 Shandong Center for Adverse Drug Reaction Monitoring, Shandong Jinan 250013, China;
    2 Zibo Center for Adverse Drug Reaction Monitoring, Shandong Zibo 255000, China
  • Received:2017-12-26 Revised:2017-12-26 Online:2017-11-20 Published:2017-12-26

摘要: 目的 探讨复方脂溶性维生素注射制剂所致不良反应的特点,为临床安全合理用药提供参考。方法 检索2000年-2017年7月中国生物医学文献服务系统(SinoMed)与中国知网(CNKI)中关于复方注射用脂溶性维生素所致不良反应案例,进行统计与分析。结果 复方脂溶性维生素注射制剂存在超适应证用药现象,所致不良反应多为速发型,不良反应累及多个系统-器官,可导致严重过敏反应或过敏性休克。结论 临床用药时应把握使用复方注射用脂溶性维生素的适应证,重视不良反应;生产企业应加强上市后药品不良反应监测,及时修订药品说明书。

关键词: 复方脂溶性维生素, 药品不良反应, 文献, 分析

Abstract: Objective To explore the general characteristics of adverse drug reactions (ADRs) induced by compound fat-soluble vitamin for injection in order to provide references for rational and safe clinical drug use. Methods ADR cases induced by compound fat-soluble vitamin for injection reported in SinoMed and CNKI during 2000~Jul. 2017 were collected and analyzed statistically. Results Compound fat-soluble vitamin was used in clinic beyond the approved indications and immediate hypersensitivity occurred, which hurted multiple organs and systems including severe allergic reactions and anaphylactic shock. Conclusion Compound fat-soluble vitamin for injection should not be used with unreasonable indications. Medical staff should pay attention to the ADR induced by compound fat-soluble vitamin for injection. Drug manufacturers should strengthen the post-market monitoring of ADR. The domestic drug package inserts need to be further improved and revised.

Key words: compound fat-soluble vitamin, adverse drug reactions, literature, analysis

中图分类号: