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[中医临床疗效研究——介绍中药注射剂安全性登记密集医院监测研究方案]

[Clinical outcomes research of traditional Chinese medicine--introduce registry intensive hospital monitoring study protocol of traditiona Chinese medicine injection's safety].

作者信息

Yang Wei, Xie Yan-Ming, Wang Yong-Yan

机构信息

Institute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing 100700, China.

出版信息

Zhongguo Zhong Yao Za Zhi. 2012 Sep;37(18):2683-5.

Abstract

Traditional Chinese medicine (TCM) injection's safety problems has been paid attention for the country and people, TCM injection's labels described the adverse reactions always shows "unclear" or blank, especially the adverse drug reactions(ADR) rates hardly reported. To save the problem, large-scale safety surveillance of TCM injection research is very important. The article introduces the research aim, research type, simple size, outcomes and ethic problem during make the plan. It is a multi-center, large sample size, registry research program about TCM injections safety monitoring. The aim is to get the ADR's rate of TCM injections. According to the "three rules" , each of the TCM injection will be observed for 30 000 cases which are inpatients. The research adopt to using the barcode system and hospital information system(HIS) & laboratory information management system(LIS) to make sure enroll all patients. Case report file (CRF) is used for record patient's information which contained 3 types(A, B, C) tables. Most of people just need to fill table A, and the patient need to fill table B when they have ADR. The outcome of the research is severe ADR. Abide by the international ethical principle to keep the patient's right.

摘要

中药注射剂的安全性问题一直为国家和民众所关注,中药注射剂说明书中对不良反应的描述往往为“尚不明确”或空白,尤其是药物不良反应(ADR)发生率鲜有报道。为解决该问题,开展中药注射剂大规模安全性监测研究十分重要。本文介绍了制定该计划过程中的研究目的、研究类型、样本量、研究结局及伦理问题。这是一项关于中药注射剂安全性监测的多中心、大样本量的注册研究项目。目的是获取中药注射剂的ADR发生率。按照“三个规定”,每种中药注射剂将观察30000例住院患者。研究采用条形码系统以及医院信息系统(HIS)和实验室信息管理系统(LIS)以确保纳入所有患者。病例报告表(CRF)用于记录患者信息,包含3种类型(A、B、C)的表格。大多数人只需填写A表,患者发生ADR时需填写B表。研究结局为严重ADR。遵循国际伦理原则以维护患者权益。

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