摘要
目的分析中药饮片不良反应发生情况及其原因,旨在为临床合理、安全使用中药饮片提出相应的对策。方法选取2014年6月~2019年6月北京市丰台区妇幼保健院使用中药饮片后产生不良反应的案例68例临床资料进行回顾性分析,统计不良反应类型及发生原因,并提出相应的预防对策。结果中药饮片不良反应累及多个系统,不良反应程度不一。其中以皮肤及黏膜系统[25例(36.76%)]为首,其次是消化系统[22例(32.35%)]、心血管系统[6例(8.82%)]。用药分析发现导致中药饮片不良反应发生的主要原因有煎煮不当[18例(26.47%)]、配伍不当[15例(22.06%)]、剂量使用不当[11例(16.18%)]等。结论中药饮片煎煮不当、配伍不当、剂量使用不当等易发生不良反应,其中煎煮不当最为突出。加强安全用药管理,做好用药宣教和专业知识的培训,建立健全完善的机制,降低不良反应发生率,确保患者用药安全。
Objective To analyze the occurrence and causes of adverse reactions of Chinese herbal decoction pieces,in order to put forward corresponding countermeasures for clinical rational and safe use of Chinese decoction pieces.Methods From June 2014 to June 2019,the clinical data of 68 cases of adverse reaction in Fengtai District Maternal and Child Health Care Hospital of Beijing City was retrospectively analyzed.The types and causes of adverse reactions were counted,and the corresponding preventive measures were put forward.Results The adverse reactions of Chinese herbal tablets involved many systems,and the degree of adverse reaction was different.Among them,25 cases(36.76%)of the skin and mucous membrane system were the first,followed,there were 22 cases(32.35%)of digestive system and 6 cases(8.82%)of cardiovascular system.The main causes of adverse reaction were 18 cases(26.47%)of improper decoction,15 cases(22.06%)of improper compatibility and 11 cases(16.18%)of improper dosage.Conclusion Improper decoction,improper compatibility,improper use of dosage and other adverse reactions,among which improper decoction is the most prominent.Strengthen the management of safe use of drugs,do a good job of drug education and professional knowledge training,establish and improve a sound mechanism to reduce adverse reactions incidence,to ensure the safety of patients with medication.
作者
邹冰姿
ZOU Bingzi(Department of Pharmacy,Fengtai District Maternal and Child Health Care Hospital of Beijing City,Beijing100069,China)
出处
《中国医药导报》
CAS
2020年第14期170-173,共4页
China Medical Herald
关键词
中药饮片
不良反应
发生原因
对策分析
Chinese herbal medicine
Adverse reactions
Causes
Countermeasures
