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我院精神科住院患者药品不良反应报告分析

宋环霞   

  1. 郑州市第八人民医院 河南 郑州 450006
  • 收稿日期:2016-01-26 修回日期:2016-04-13 出版日期:2016-06-25 发布日期:2016-06-25

Analysis on Adverse Drug Reaction Reports of Psychiatric Hospital Inpatients in our Hospital

  1. The eighth people hospital of Zhengzhou
  • Received:2016-01-26 Revised:2016-04-13 Online:2016-06-25 Published:2016-06-25

摘要: [摘 要]目的:分析我院精神科住院患者药品不良反应(ADR)发生的特点及规律,为精神科临床合理用药提供借鉴和参考。方法:对我院2014年1月至2015年9月间报告至国家药品不良反应监测系统的190例ADR进行回顾性统计与分析。结果:190例ADR报告中,女性患者(n=116, 61.05%)多于男性患者(n=74,38.95%)。年龄15~29岁的患者(n=81,42.63%)所占比例最大。引起不良反应最多的药物为利培酮(n=41,21.58%)、丙戊酸盐(n=38,20.00%)和喹硫平(n=17,8.95%);ADR主要累及以椎体外系反应为主的神经系统(n=68,35.79%)、胃肠道(n=25,13.16%)和血液与淋巴系统(n=19,10.00%)。ADR多发生在用药后0~7d(n=70,36.84%)。ADR转归结果表明绝大多数患者好转(n=102,53.68%)或痊愈(n=79,41.58%),8例不详(4.21%),1例未好转(0.53%)。ADR与怀疑药品关联性评价结果显示59.47%为肯定相关(n=113),25.79%为很可能相关(n=49),14.21%为可能相关(n=27),0.53%为可能无关(n=1)。结论:精神科药物导致的不良反应比较多见,且以神经系统为主要表现。对精神科药物不良反应的早期预防、早期识别、及时诊断和合理干预有助于提高用药安全。

Abstract: [Abstract]Objective:To analyze characteristics and rules of adverse drug reaction(ADR)of psychiatric hospital inpatients in our hospital, and to improve the safety and guide clinical rational drug use of psychotropic medicines.Methods: A retrospective study was carried out for a period from January 2014 to September 2015 and a total of 190 cases ADR were reported to the National Adverse Drug Reaction Monitoring system during the study period.Results:190 cases ADR female patients (n=116, 61.05%)were more than the male(n=74, 38.95%).The age group of 15~29(n=81, 42.63%)were predominated. The most common drugs associated with the ADR were risperidone (n=41, 21.58%), valproic acid (n=38, 20.00%) and quetiapine (n=17, 8.95%).The systems most commonly involved in ADR were nervous system (n=68, 35.79%) in which mainly associated with extrapyramidal side effects, gastrointestinal tract (n=25, 13.16%) and hemic and lymphatic system (n=19, 10.00%).Most ADR had presented within 0~7d(n=70, 36.84%)of the initiation of psychotropic agents therapy.The results of ADRs showed improved(n=102, 53.68%) or cured (n=79, 41.58%), 8 unknown(4.21%), 1 unimproved (0.53%).Of the reported reactions, causality assessment showed 59.47% of the ADR were definite(n=113), 25.79% were probable(n=49), 14.21% were possible (n=27) and 0.53% were unlikely(n=1).Conclusion:There are common side effects associated with psychotropic agents, which mainly affect the nervous system.Interventions on ADR that focus on prevention, early identification, accurate diagnosis and appropriate interventions can improve the safety of psychotropic medicines.