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噻唑烷二酮类药物致不良反应文献分析

张士勇   

  1. 安徽省蚌埠市第三人民医院药学部
  • 收稿日期:2014-04-01 修回日期:2014-06-03 出版日期:2014-08-25 发布日期:2014-08-25

Adverse drug reactions induced by Thiazolidinediones

  1. The Third People’s Hospital Bengbu
  • Received:2014-04-01 Revised:2014-06-03 Online:2014-08-25 Published:2014-08-25

摘要: 目的:分析噻唑烷二酮类药物不良反应的发生情况及临床特点,为合理用药提供参考。方法:检索噻唑烷二酮类在中国上市以来CNKI、VIP数据库收载的不良反应文献进行统计分析。结果:噻唑烷二酮类不良反应的文献报道共24例次;年龄60岁以上发生率较高(16例,66.7%);多发生在用药1月后(11例,45.8%);分别涉及红细胞异常、心血管系统一般损害、代谢和营养障碍、肝胆系统损害等多个系统/器官。结论:临床合理使用噻唑烷二酮类药物的同时,加强用药监测,以减少不良反应的发生。

Abstract: OBJECTIVE:To analyze the general patterns and characteristics of adverse drug reactions (ADR ) induced by thiazolidinediones (TZDs) and provide reference for clinical medicination. METHODS:ADR of TZDs reported in Chinese medical science journals were retrieved from CNKI literature base and VIP database were collected and analyzed statistically.RESULTS:A total of 24 ADRs were identified and included in the analysis. Patients over the age of 60 years showed the highest ineidence(n=11,45.8%).ADR of TZDs always attack after 1 month(n=11,45.8%).T heir ADRs were involved in many system s such as red blood cell disorders, cardiovascular general disorders,metabolic and nutritional disorders,liver and biliary system disorders.CONCLUSION:Clinicians should use TZDs reasonably and tighten monitoring on its using to reduce the incidences of ADR.