抗痛风药不良反应文献分析
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篇名: | 抗痛风药不良反应文献分析 |
TITLE: | |
摘要: | 目的: 探讨抗痛风药致药品不良反应(ADR)发生的规律及特点,为临床合理用药提供参考。方法:检索1979年1月-2014年12月报道的抗痛风药致ADR文献146篇共计167例,并进行分析。结果:167例ADR中,男、女性的比例为5.4 ∶ 1,70岁以上发生ADR患者比例最高(34.14%);别嘌呤醇引起的ADR最多(137例);抗痛风药的ADR主要为皮肤及其附件损害(60.00%)、全身性反应(9.19%)、泌尿系统损害(5.95%)等,具体临床表现为皮疹(51例)、剥脱性皮炎(38例)、药物超敏综合征(13例)、中毒性表皮坏死松解症(11例)、重症多形红斑(9例)等;新的严重的ADR有66例;13例严重的ADR患者死亡。结论:抗痛风药引发的ADR较为常见,临床使用时应严格按照说明书、治疗指南用药,及时处理、加强对患者的监护,以确保患者用药安全,提高临床治疗水平。 |
ABSTRACT: | OBJECTIVE: To investigate rules and characteristics of ADR induced by antigout agents, and to provide reference for clinical rational drug use. METHODS: A total of 146 literatures, 167 putients of ADR induced by antigout agents, which were reported during Jan. 1979-Dec. 2014. RESULTS: Of 167 ADR cases, the ratio of male to female was 5.4 ∶ 1, and ADR patients aged above 70 years occupied the highest proportion (34.14%); Most ADR were induced by allopurinol(137 cases) ADR induced by antigout agents mainly were dermal system injury (60.00%), systemic reaction (9.19%), urinary system injury (5.95%), etc. and the specific performance manifested as erythra (51 cases), dermatitis exfoliativa (38 cases), drug hypersensitivity syndrome (13 cases), bullous epidermal necrolysis type of drug eruption (11 cases), Stevens-Johnson syndrome (9 cases) and so on. New and severe ADR were 66 cases, 13 cases of severe ADR were dead. CONCLUSIONS: ADR induced by antigout agents is common in clinical and should be treated promptly, patient’s care also should be strengthen to ensure patient medication safety and improve clinical treatment. |
期刊: | 2016年第27卷第5期 |
作者: | 杨澍,高秀清,高杉 |
AUTHORS: | YANG Shu,GAO Xiuqing,GAO Shan |
关键字: | 抗痛风药;药品不良反应;分析 |
KEYWORDS: | Antigout agents; Adverse drug reaction; Analysis |
阅读数: | 338 次 |
本月下载数: | 10 次 |
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