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Analysis of adverse drug reactions and medication safety of Compound Kushen Injection based on literature reports |
DIAN Liping1 WEI Xiaoqing1 TANG Fan1 ZHANG Yuzhu2 ZHONG Shaowen2 |
1.The Second Clinical Medical College, Guangzhou University of Chinese Medicine, Guangdong Province, Guangzhou 510405, China;
2.Department of Mammary Gland, Guangdong Provincial Hospital of Chinese Medicine, Guangdong Province, Guangzhou 510000, China |
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Abstract Objective To explore the analysis of adverse reactions and medication safety of Compound Kushen Injection based on literature reports. Methods From January 1996 to February 2020, the published relevant literatures on adverse drug reaction (ADR) of Compound Kushen Injections were retrieved by computer from CNKI, Wanfang data and VIP. The statistical analysis mainly involved general data, medical history data, dosage regimen and ADR related situation. Results A total of 13 literatures were enrolled, including 76 cases. ADR caused by Compound Kushen Injection mostly occurred in people over 40 years old, and female (41 cases) was higher than male (35 cases). The occurrence of ADR may be related to daily administration dosage, menstruum, drug combination and other factors. The dangerous period of Compound Kushen Injection was 30 minutes after first infusion. The clinical manifestations of ADR could be involved in many systems, among which, gastrointestinal system and systemic damage were the main ones. Conclusion Clinical use of Compound Kushen Injection should be strictly in accordance with the instructions, attention should be paid to special groups. During the use of drugs, especially within 30 min of the first infusion, it is necessary to closely monitor patients to avoid the occurrence of serious ADR.
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[1] 李文龙,吴思俊,秦文杰,等.复方苦参注射液质量控制方法研究进展[J].中国民族民间医药,2019,28(11):48-51.
[2] 董俊,晏菲,邓洁,等.复方苦参注射液抗肿瘤机制及其临床应用进展[J].天津药学,2019,31(1):71-74.
[3] 陈青青,王新艳,范惠珍,等.复方苦参注射液辅助放疗治疗恶性肿瘤研究进展[J].江西中医药,2018,49(4):70-73.
[4] The WHO Collaborating Centre for International Drug Monitoring,The Uppsala Monitoring Centre. WHO药品不良反应术语集[M].国家不良反应监测中心,国家食品药品监督管理局药品评价中心,译.北京:中国医药科技出版社,2003.
[5] 范逸群.复方苦参注射液致不良反应1例[J].现代养生,2016(4):175.
[6] 柳丽华,乔爱珍,张晓丹.复方苦参静脉滴注致过敏性休克2例[J].河北医科大学学报,2013,34(1):29,39.
[7] 张娜.复方苦参注射液致过敏1例[J].中国误诊学杂志,2010,10(21):5053.
[8] 肖方.复方苦参注射液引起过敏性休克1例[J].中国当代医药,2009,16(25):104.
[9] 马春芳,郭建声.复方苦参注射液致不良反应2例[J].中国药事,2002,16(6):375.
[10] 付利民,韩霞,高锦秀.静滴复方苦参注射液致热源反应一例[J].河南肿瘤学杂志,2001,14(1):16.
[11] 李雪,付利民,葛丽娟.静脉点滴复方苦参注射液致热源反应1例[J].医学理论与实践,2000,13(12):721.
[12] 邹颖.复方苦参注射液致过敏反应1例[J].医学信息:医药版,2010,23(2):24.
[13] 朱静.复方苦参注射液过敏反应1例[J].中外健康文摘,2009,6(35):261.
[14] 闫玉枫.复方苦参注射液静注过敏1例[J].医学信息:医药版,2010,23(2):22.
[15] 赵业清,徐传新.我院20例复方苦参注射液不良反应报告分析[J].中国药业,2015(2):56-57.
[16] 任清兰.太原市中心医院2017年复方苦参注射液使用及药品不良反应情况分析[J].山西医药杂志,2018,47(15):1843-1844.
[17] 于学东,朱娜,耿传信.青岛市中心医院复方苦参注射液药品不良反应报告分析[J].国际中医中药杂志,2018, 40(9):832-835.
[18] 温虹.复方苦参注射液与5%葡萄糖注射液存在配伍禁忌[J].临床军医杂志,2011,39(6):1234.
[19] 白万军,孙晓利,宋浩静,等.复方苦参注射液在两种输液中的稳定性考察[J].中国药师,2017,20(4):740-742, 773.
[20] 潘艳琳,何明,刘锋,等.苦参及其制剂不良反应文献回顾[J].海峡药学,2015,27(11):256-257.
[21] 宿美凤,雒晓梅,常晓燕,等.苦参实毒性成分分析[J].中国现代中药,2019,21(3):303-306,311.
[22] 张明发,沈雅琴.苦参碱类生物碱的毒性研究进展[J].药物评价研究,2018,41(4):682-691.
[23] 李振虎,王化龙,刘艳庭,等.聚山梨酯80诱发类过敏反应机制研究[J].中国新药杂志,2016,25(23):2664-2669.
[24] 邱玲,段为钢.注射用聚山梨酯80的安全性分析[J].云南中医学院学报,2018,41(6):90-95.
[25] 刘继平,黄鑫,薛梅,等.复方苦参注射液大鼠胆汁、尿液排泄研究[J].中药新药与临床药理,2011,22(4):96-100.
[26] 张彬,莫伟明,阮勇.复方苦参注射液结合FOLFOX4方案治疗结直肠癌的相关指标变化分析[J].世界中医药,2019,14(6):1485-1489.
[27] 陈妨.复方苦参注射液在癌性疼痛三阶梯止痛中的临床效果[J].北方药学,2019,16(12):56-57.
[28] 张思容,姜小艳,彭立生.复方苦参注射液联合介入疗法治疗原发性肝癌随机对照的Meta分析[J].中医药导报,2017,23(11):69-75. |
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