Yang Yan-Ying, Dong Zhi, Zhu Shu-Bing, Sun Hua-Fu, Yang Mei-Ping
Chongqing Medical University, Chongqing 400016, China.
Zhongguo Zhong Yao Za Zhi. 2012 Dec;37(23):3659-63.
To systematically summarize the monitoring over adverse reactions of proprietary Chinese medicines, in order to provide reference for safe clinical medication.
By using Excel and SPSS 17.0 were adopted for summarizing ADR monitoring over Chinese patent medicines and comparatively evaluating the non-proprietary Chinese medicines.
There were significant differences in data of different state reports of proprietary Chinese medicines and non-proprietary Chinese medicines (P<0.05). The ratio between the serious ADR of proprietary Chinese medicines and the safety risk of non-proprietary Chinese medicines was 1.057 (95% CI:0.915, 1. 221), suggesting that the safety of proprietary Chinese medicines was not higher than the non-proprietary Chinese; as such medicines as Qingkailing, Xuesaitong and Xiangdan have ranked top five for years in terms of ADR and serious ADR, the drug administration and hygiene system shall take more effective control measures for strengthening the monitoring over rational use of drugs; clinical manifestations of severe ADR of proprietary Chinese medicines were dominated by allergic shock, which could not be effectively prevented and monitored by such means as skin test, therefore, pre-clinical treatment risk-benefit evaluation shall be improved.
系统总结中成药不良反应监测情况,为临床安全用药提供参考。
采用Excel和SPSS 17.0对中成药不良反应监测情况进行汇总,并对中药注射剂进行比较评价。
中成药与中药注射剂不同状态报告数据差异有统计学意义(P<0.05)。中成药严重不良反应与中药注射剂安全风险比为1.057(95%CI:0.915,1.221),提示中成药安全性不高于中药注射剂;清开灵、血塞通、香丹等药品多年来不良反应及严重不良反应排名靠前,药品监管及卫生系统应采取更有效管控措施,加强合理用药监测;中成药严重不良反应临床表现以过敏性休克为主,皮试等手段无法有效预防和监测,应完善临床前治疗风险效益评估。