1. 重庆医科大学医学信息学院
2. 医渡云(北京)技术有限公司
3. 重庆医科大学第二临床学院
4. 重庆医科大学医学信息学院医渡云(北京)技术有限公司重庆医科大学第二临床学院
纸质出版:2019
移动端阅览
[1]吕亚兰,赵文龙,周虎,冉超,谭超,谈军涛,张晓薇,陈国勇,谢晴宇,杨竹.基于电子诊疗数据的痰热清注射液疑似过敏反应影响因素分析[J].中医杂志,2019,60(17):1463-1467.
LYU Yalan, ZHAO Wenlong, ZHOU Hu, et al. Analysis of Influencing Factors in Suspected Allergic Reaction of Tanreqing Injection( 痰热清注射液) Based on Electronic Medical Record Data[J]. Journal of Traditional Chinese Medicine2019, 60(17): 1463-1467.
[1]吕亚兰,赵文龙,周虎,冉超,谭超,谈军涛,张晓薇,陈国勇,谢晴宇,杨竹.基于电子诊疗数据的痰热清注射液疑似过敏反应影响因素分析[J].中医杂志,2019,60(17):1463-1467. DOI: 10.13288/j.11-2166/r.2019.17.007.
LYU Yalan, ZHAO Wenlong, ZHOU Hu, et al. Analysis of Influencing Factors in Suspected Allergic Reaction of Tanreqing Injection( 痰热清注射液) Based on Electronic Medical Record Data[J]. Journal of Traditional Chinese Medicine2019, 60(17): 1463-1467. DOI: 10.13288/j.11-2166/r.2019.17.007.
目的分析引起痰热清注射液疑似过敏反应的影响因素
为痰热清药物过敏反应监测提供参考。方法采用处方序列分析筛选7所医院2015年6月至2018年8月期间痰热清注射液疑似过敏患者175例。根据对照组纳入标准
使用倾向值匹配法按年龄、性别和住院科室进行1∶4的病例数匹配对照组研究对象700例。采用条件Logistic回归分析溶媒、过敏史、单次给药剂量以及联合用药对疑似过敏反应的影响。结果溶媒、过敏史及单次给药剂量对痰热清注射液疑似过敏反应无影响(P> 0. 05)
痰热清注射液的9种联合用药可增加痰热清注射液发生疑似过敏反应的风险
包括甲氧氯普胺(OR=3. 499
P=0. 0005)、孟鲁司特钠(OR=3. 283
P=0. 0009)、碳酸氢钠(OR=3. 557
P=0. 0009)、血凝酶(OR=3. 749
P=0. 0013)、布地奈德(OR=2. 778
P=0. 0026)、泮托拉唑(OR=2. 152
P=0. 0081)、青霉素(OR=2. 388
P=0. 0131)、炎琥宁(OR=2. 803
P=0. 0131)以及莫西沙星(OR=1. 848
P=0. 0404)。对照组与疑似过敏组血钙、血钠、中性粒细胞和白细胞计数比较差异有统计学意义(P <0. 05)。结论使用痰热清注射液发生疑似过敏反应可能与以上9种药物联合用药以及血钙、血钠等血液指标有关
但所得分析结果有待进一步的前瞻性研究验证。
Objective To investigate the influencing factors of suspected allergic reaction of Tanreqing Injection( 痰热清注射液)
to provide references for allergic reaction monitoring of Tanreqing Injection. Methods A total of175 patients with suspected allergic reactions during June 2015 to August 2018 in 7 hospitals were screened by prescription sequence analysis. According to the inclusion criteria of the control group
700 patients were matched with the control group by the trend value matching method according to the age
gender and hospitalization department.Conditional logistic regression was used to analyze the effects of vehicle
allergy history
single dose
and combination therapy on suspected allergic reactions. Results The vehicle
allergic history and single dose had no effects on the suspected allergic reaction of Tanreqing Injection( P > 0. 05). The 9 combination drugs of Tanreqing Injection increased the risk of suspected allergic reaction of Tanreqing Injection
including metoclopramide( OR = 3. 499
P =0. 0005)
montelukast sodium( OR = 3. 283
P = 0. 0009)
sodium bicarbonate( OR = 3. 557
P = 0. 0009)
hemagglutinase( OR = 3. 749
P = 0. 0013)
budesonide( OR = 2. 778
P = 0. 0026)
pantoprazole( OR = 2. 152
P =0. 0081)
penicillin( OR = 2. 388
P = 0. 0131)
Potassium Sodium Dehydroandro( OR = 2. 803
P = 0. 0131) and moxifloxacin( OR = 1. 848
P = 0. 0404). There were significant differences in blood calcium
serum sodium
neutrophil and white blood cell count between the control group and the suspected allergy group( P < 0. 05).Conclusion The suspected allergic reaction with Tanreqing Injection may be related to the above 9 drugs for combination use
as well as blood calcium
blood sodium and other blood indicators
but the results of the analysis still need further prospective studies.
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