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全科医疗中的药物监测:氧烯洛尔治疗心绞痛的研究

Drug surveillance in general practice: a study of oxprenolol in the treatment of angina.

作者信息

Watt M

出版信息

N Z Med J. 1975 Feb 26;81(534):200-2.

PMID:1055941
Abstract

Information on the incidence of adverse drug reactions is essential for rational drug therapy. Accurate information of this type is almost entirely derived from intensive surveillance of hospital patients and may not reflect the situation in general practice. In a sutdy of oxprenolol (Trasicor) in the treatment of angina in general practice, a simple non-comparative assessment of efficacy indicated complete or substantial relief of symptoms in nearly 80 percent of patients. Side effects, which were principally related to beta-blockade and were all reversible, occured in 16.6 percent of patients but necessitated stopping treatment in only 10 percent. Simple studies of this nature may yeild valuable evicence about the benefit-to-risk ratio of drugs used under general practice conditions.

摘要

药物不良反应发生率的信息对于合理用药治疗至关重要。此类准确信息几乎完全来自对住院患者的强化监测,可能无法反映全科医疗中的情况。在一项关于氧烯洛尔(心得平)治疗全科医疗中心绞痛的研究中,一项简单的非对照疗效评估表明,近80%的患者症状得到完全或大幅缓解。副作用主要与β受体阻滞有关,且均为可逆性,16.6%的患者出现副作用,但仅10%的患者需要停药。这种性质的简单研究可能会得出关于全科医疗条件下所用药物的效益风险比的有价值证据。

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