Abstract:Objective To analyze the characteristics of incidence of adverse drug reactions (ADR) induced by antipsychotics drug, and to provide the basis for rational use of drugs in clinic. Methods A total of 897 patients with ADR reported by Xi’an Mental Health Center (hereinafter referred to as “our hospital”) in the national adverse drug reactions monitoring system from January 2009 to December 2019 were collected. Among them, 775 cases developed ADRs caused by antipsychotics drug, and the time of ADRs, clinical manifestations, drug types, systems or organs involved were analyzed statistically. Results Seven hundred and seventy-five cases of ADRs caused by antipsychotic drugs involved 16 items gauge. Among them, the top ten drugs in the list of ADR incidence were Olanzapine Tablets, Amsulapride Tablets, Clozapine Tablets, Quetiapine Fumarate Tablets, Risperidone Tablets, Risperidone Dispersible Tablets, Haloperidol Injection, Aripiprazole Orally Disintegrated Tablets, Hydrochloride Ziprasidone Capsules, and Hydrochloride Ziprasidone Tablets. The nervous system was the most involved system (221 cases, 26.53%), followed by the cardiovascular system (202 cases, 24.25%). In addition, the incidence of ADR within 15 days after medication accounted for 52.38%. Conclusion The type and proportion of ADR of antipsychotics drug reported by our hospital were consistent with the key requirements of drug administration department. ADR can occur at all stages, and attention should be paid to drugs with a high incidence of ADR, especially monitoring and laboratory examination within 15 days after administration.
[1] 朱红姣,梁小微,温英,等.全程责任包干护理模式对精神疾病患者出院后康复的效果影响[J].山西医药杂志,2016,45(16):1945-1946.
[2] 林春元,李玉梅.精神分裂症患者维持治疗中的依从性研究[J].中国医学工程,2015,23(10):30.
[3] 段明君.抗精神病药物对精神分裂症患者脑网络的重塑研究[D].成都:电子科技大学,2019.
[4] Chawla S,Kumar S. Adverse Drug Reactions and Their Impact on Quality of Life in Patients on Antipsychotic Therapy at a Tertiary Care Center in Delhi [J]. Indian J Psychol Med,2017,39(3):293-298.
[5] 李淼.抗精神病药物不良反应对患者的心理影响及护理方式探讨[J].中国实用医药,2018,13(3):195-196.
[6] 李利军,胡晋红,王卓,等.药品不良反应严重程度分级评分标准的制定及药品不良反应严重度指数的应用[J].药学服务与研究,2008,8(1):9-13.
[7] 弋淑,许秀峰,程宇琪.精神分裂症患者血脑屏障损伤研究进展[J].中华精神科杂志,2020(1):55-58.
[8] 张鹏.抗精神病药物不良反应分析[J].临床合理用药杂志,2020,13(5):120-121.
[9] 张有友,刘良,朱江涛,等.常见抗精神病药物心血管毒性的研究进展[J].中国法医学杂志,2020,35(1):60-63,68.
[10] Raja M. Managing antipsychotic-induced acute and tardive dystonia [J]. Drug Saf,2018,19(1):57-72.
[11] 鱼爱和.非典型抗精神病药物与锥体外系症状[J].药物不良反应杂志,2006(4):279-283.
[12] 但汉雄,陈爱国,李涣德.非典型抗精神病药的临床应用及不良反应[J].中国医院药学杂志,2004,24(6):365-367.
[13] 齐安思,陆峥.多巴胺与精神分裂症药物治疗机制研究进展[J].中华精神科杂志,2019,52(4):289-292.
[14] 翁加俊,于文娟,李华芳.药物治疗抗精神病药所致锥体外系反应的进展[J].中国临床药学杂志,2019,28(1):73-76.
[15] 马蓉,徐安彬.东莨菪碱治疗药物引起锥体外系反应27例[J].现代医药卫生,2006(14):2179.
[16] 廖裔学.急性药源性锥体外系反应的诊断和治疗[J].柳钢科技,2017(2):58-60.
[17] 邱畅,郑洪波,邓河晃,等.广州市精神病医院230例药品不良反应分析[J].药学服务与研究,2008,8(3):226-228.
[18] 江佳,刘俊.老年患者发生药品不良反应的相关因素分析[J].中国医院用药评价与分析,2013,13(1):70-72.
[19] 王瑜,仇丽霞,范作鹏,等.不同类型的急性药物性肝损伤患者临床特征比较[J].临床肝胆病杂志,2021,37(3):632-635.
[20] 朱春梅,吴民,刘建红.我院495例药品不良反应报告分析[J].中国药物与检测,2006,13(4):231-234.
[21] 侯俊兴,严粉琴,于乐成.药物性肝损伤合并肝外药物不良反应的发生机制及诊疗现状[J].临床肝胆病杂志,2020,36(3):497-500.
[22] 赵靖平,施慎逊.中国精神分裂症防治指南(第二版)[M].北京:中华医学电子音像出版社,2015.
[23] 宋娥美,卢浩扬,王占璋,等.302例奥氮平不良反应的临床分析[J].今日药学,2017,27(5):235-238.
[24] 张德伦,吕兰,姚鹏,等.183例非典型抗精神病药物不良反应报告分析[J].中国药物警戒,2017,14(2):109-112.
[25] 戴妙庆,王廷慧,赵菊梅.抗精神病药物氯氮平的药理与临床[J].西北药学杂志,1997(S1):63.
[26] 张郦,钱秋红,宋建宏,等.160例抗精神病药不良反应/事件分析[J].中国药物警戒,2011,8(3):180-181.
[27] 杨燕,李丽,汪蜜,等.精神科住院患者146例药品不良反应报告分析[J].西北药学杂志,2018,33(2):271-273.