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目的:了解银杏达莫注射液不良反应(ADR)发生的特点和一般规律,为临床合理用药提供参考。方法:以“银杏达莫注射液”“不良反应”为主题词,检索中国学术期刊全文数据库2005年1月1日-2016年6月28日收载的期刊文献,对患者性别、年龄、原患疾病、过敏史、用药情况、ADR发生时间、累及器官/系统及临床表现等进行统计、分析。结果:检索得到有效文献14篇,共计727例患者。其中,女性多于男性(57.63% vs.42.37%),年龄多在50岁以上,原患疾病以血栓栓塞性疾病、冠心病为主;ADR多在用药30 min内发生(268例,36.86%);累及器官/系统以神经系统(254例,28.60%)、皮肤及其附件(228例,25.68%)和消化系统(187例,21.06%)为主,严重者可致过敏性休克;新的严重的ADR 18例(2.48%);所有ADR均好转,无死亡病例。结论:临床应严格掌握银杏达莫注射液的适应证,辨证施治、合理用药,对用药过程严密观察,警惕ADR的发生。
OBJECTIVE: To investigate the characteristics and general rule of ADR induced by Ginkgo leaf extract and dipyridamole injection, and to provide reference for clinical rational drug use. METHODS: Using “Ginkgo leaf extract and dipyridamole injection” “ADR” as subject, the journal articles were retrieved from CJFD during Jan. 1st, 2005-Jun. 28th, 2016, and then analyzed statistically in respects of gender, age, primary disease, allergic disease, drug use, occurrence time of ADR, organs/systems involved and clinical manifestations. RESULTS: A total of 14 valid articles had been collected, involving 727 patients in total. Meanwhile, female was more than male (57.63% vs. 42.37%) and most of them aged more than 50 years; primary diseases were mainly thromboembolic disease and coronary heart disease; most of ADR happened within 30 min after medication (268 cases, 36.86%). Organs/systems involved in ADR were mainly nervous system (254 cases, 28.60%), followed by skin and its appendants (228 cases, 25.68%), digestive system (187 cases, 21.06%); severe ADR could cause anaphylactic shock. There were 18 cases of new severe ADR (2.48%); all ADR cases were recovered, and no death occurred. CONCLUSIONS: It is suggested to strictly control indications, differential diagnosis and treatment, rational drug use, close monitoring through the whole process, maintain a high level of awareness to ADR.
银杏达莫注射液药品不良反应文献分析
Ginkgo leaf extract and dipyridamole injectionADRLiterature analysis
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