甲硝唑致心脏损害58例不良反应/事件分析 点击下载
论文标题: 甲硝唑致心脏损害58例不良反应/事件分析
英文标题:
中文摘要: 目的:探讨甲硝唑致心脏损害的特点和规律,为临床安全用药提供参考。方法: 采用回顾性研究方法,对河南省药品不良反应(ADR)监测中心2010年1月-2015年12月收到的58例甲硝唑致心脏损害的报告进行分析。结果:58例甲硝唑致心脏损害病例中,男性25例,女性33例,男女比例为0.76 ∶ 1;发生ADR/药品不良事件(ADE)患者年龄以15~64岁为主(74.14%);静脉给药途径最多见(79.31%);发生在30 min内居多(70.69%);主要表现为心悸,严重者可致心动过速和心律失常;58例患者经停药或对症治疗后ADR均好转或痊愈。结论:临床应加强对甲硝唑致ADR/ADE的观察,特别是对心脏毒性反应的监测;药品生产企业应完善药品说明书,以确保临床用药的安全。
英文摘要: OBJECTIVE: To explore the characteristics and regularities of cardiac damage induced by metranidazole, and provide reference for clinical safe application. METHODS: In retrospective study, 58 cases of cardiac damage caused by metranidazole in Henan ADR Monitoring Center for Drug from Jan. 2010 to Dec. 2015 were analyzed statistically. RESULTS: In 58 cases of cardiac damage induced by metranidazole, 25 cases were male, 33 were female, the ratio of male to female was 0.76 ∶ 1, the patients with ADR/ADE aged 15-64 years (74.14%), most were intravenous administration (79.31%) and happened within 30 min (70.69%), cardiac damage mainly manifested as palpitation, severe cases can cause tachycardia and arrhythmia, the ADR improved or cured after withdrawal or symptomatic treatment. CONCLUSIONS: Clinic should strengthen observation of ADR/ADE caused by metranidazole, especially the monitoring of cardiac toxicity reactions; pharmaceutical manufacturers should improve the drug instructions to insure the safety of clinical medication.
期刊: 2016年第27卷第26期
作者: 王丽,周晓杰,张惠霞
英文作者: WANG Li,ZHOU Xiaojie,ZHANG Huixia
关键字: 甲硝唑;心脏损害;药品不良反应/事件;分析
KEYWORDS: Metranidazole; Cardiac damage; Adverse drug reaction/event; Analysis
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