中国药物警戒 ›› 2025, Vol. 22 ›› Issue (10): 1148-1153.
DOI: 10.19803/j.1672-8629.20240856

• 安全与合理用药 • 上一篇    下一篇

160例新型抗肿瘤药品不良反应报告分析

孟现奇, 朱伟南, 张印印   

  1. 安徽医科大学附属宿州医院药剂科,安徽 宿州 234000
  • 收稿日期:2024-11-06 出版日期:2025-10-15 发布日期:2025-10-20
  • 作者简介:孟现奇,男,本科,副主任药师,医院药学与临床药学。

160 Cases of Adverse Reactions to Novel Antitumor Drugs

MENG Xianqi, ZHU Weinan, ZHANG Yinyin   

  1. Department of Pharmacy, Suzhou Hospital Affiliated to Anhui Medical University, Suzhou Anhui 234000, China
  • Received:2024-11-06 Online:2025-10-15 Published:2025-10-20

摘要: 目的 分析某院新型抗肿瘤药物发生不良反应的特点及规律,为临床合理用药提供参考。方法 收集2021年1月1日至2024年12月31日上报至国家药品不良反应监测系统的新型抗肿瘤药的不良反应,对患者年龄、性别、用药情况、不良反应类型、累及系统-器官和临床表现等进行分析。结果 160例不良反应中,涉及男性患者78例(48.75%),女性患者82例(51.25%);年龄最大为99岁,最小为36岁,平均年龄(63.74±11.50)岁;不良反应主要累及皮肤及其附件(31.38%)和消化系统(29.29%),主要临床表现为腹泻(22例次)、恶心(20例次)、手足综合征(18例次)、皮疹(18例次)、瘙痒(15例次)。结论 新型抗肿瘤药物的不良反应涉及的年龄较广、累及系统-器官较多,主要累及系统-器官依次为皮肤及其附件、消化系统、全身性损害、循环系统等,临床工作中应加强药物不良反应监测,在患者使用新型抗肿瘤药物期间,重点关注腹泻、恶心、手足综合征、皮疹、瘙痒等药物不良反应并做好防治工作。

关键词: 新型抗肿瘤药物, 小分子靶向药物, 免疫检查点抑制剂, 皮肤及其附件, 消化系统, 全身性损害, 药品不良反应, 临床药师

Abstract: Objective To analyze the characteristics and patterns of adverse reactions caused by new anti-tumor drugs in a hospital in order to provide references for rational clinical use of drugs. Methods The reports of adverse reactions induced by novel anti-cancer drugs submitted to the National Drug Adverse Reaction Monitoring System between 2021 and 2024 by our hospital were retrieved before the patients' age, gender, usage of drugs, types of adverse reactions, systems (organs) affected and clinical manifestations were analyzed. Results Among the 160 cases of adverse reactions, 78 involved male patients (48.75%) and 82 involved female ones (51.25%). The age of the patients ranged from 36 to 99, with an average age of (63.74 ± 11.50) years. The adverse reactions mostly affected the skin and its appendages (31.38%) and the digestive system (29.29%). The common clinical manifestations were diarrhea (22 cases), nausea (20 cases), hand-foot syndrome (18 cases), rash (18 cases), and pruritus (15 cases). Conclusion The adverse reactions related to new anti-tumor drugs involve patients across age groups and affect multiple systems and organs, including the skin and its appendages, the digestive system, systemic damage, and the circulatory system. When patients use new anti-tumor drugs, special attention should be paid to such adverse reactions as diarrhea, nausea, hand-foot syndrome, rash, and itching, and effective prevention and treatment measures should be taken.

Key words: Novel Antitumor Drugs, Small Molecule Targeting Drugs, Immune Checkpoint Inhibitors, Skin and Its Appendages, Digestive System, Systemic Damage, Adverse Drug Reactions, Clinical Pharmacist

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