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Report adverse reactions in our hospital of traditional Chinese medicine


Sensitivity of shock. 1 case of needle-induced anaphylactic Houttuynia 3 Discussion 3.1 Purple Otter quality and formulation of Chinese medicine in our hospital ADR reporting statistical results, ADR occurrence like with sex, age, and the original no significant relationship between illness. With the patient's individual sensitivity, administration route and preparations related to quality. Vulnerable environment for the growth of Chinese herbal medicines, collection season, storage conditions, processing and preparation procedure Sunburn guns and other factors, not easy to achieve quality standardization. 2 copies of mass report (2 different batches Ganyanling needle: a biochemical pharmaceutical factory in Hunan), causing drug in patients with varying degrees of immune system damage and injection site pain patients, the incidence was 50% (batch number: 960601) and 100% (batch number: 960801), and Danshen-pin (in a pharmaceutical factory in Henan; batch number: 9108031) triggered several allergic reactions (caused by l patients died), are related to the quality and preparation. After the injections directly into the blood circulation. ADR caused a serious danger and Pi were higher than other formulations. Although the WHO to the abuse of injection drug use as a reasonable performance - [1]. But in our understanding is still not out of misunderstanding, the clinical usage has been high, as the main cause ADR formulations. This caused the ADR injection of Chinese medicine more than 60%. Strengthening rational use of drugs education. Improve the quality of Chinese medicine preparations, are still long way to go. Furthermore, it should be particularly vigilant with western drug ingredients in Chinese Traditional Medicine result of ADR. 3.2 The clinical manifestations of allergy medicine is hospital major adverse reactions ADR (50.49%), allergic reactions may be easier to observe the clinical. Some Chinese medicine (such as Danshen needle) has caused severe allergic reaction reaction lasted long, easy to repeat the characteristics of the disease, the patient's vital signs are often volatile and becomes stable for several days. Misjudgment or handled carelessly or life-threatening. Cases of hospital medicine is such a lethal injection. Protein with the opposite sex for prescriptions (such as white silkworm, nine Hong insects, etc.) or injection (needle ahylysantinfarctase), prescribing special attention should be asked allergy history. 6 copies of prescriptions Court ADR report. 3 copies with white silkworm students are shock-like allergic reaction} (1 case with lip swelling, slurred speech), all occurred in the medication 30min; and 3 with nine copies of all of Hong insect-like rash caused by urticaria (1 patients with respiratory reactions), and both occurred on day 2 in the treatment; ahylysantinfarctase needle liver function damage caused by the medication is almost always occurs around two weeks. Chinese ADR seems to be certain of its laws, and should be further observation summary. Main components of hard work Capsule steroidal saponins, should have greater security, but several patients complained of can not reduction or withdrawal, or rebound caused by the disease. Whether it will lead to drug dependence although hardly conclusive, but to prevent the reduction of drug abuse is still an important part of Chinese ADR. 3.3 The time of occurrence and outcome of hospital medicine ADR48 were (47.53%) occurred at 24h, 28 of which were in place in 1h, and allergic l Health and shock, damage to skin and its appendages (all types of skin rash), immune system response (chills, fever) based. Several deadly serious ADR were the first drug reactions occur within 2h. If we do not take timely measures can easily lead to serious consequences. Therefore, the day of the medication, especially medication 2h, the doctors, patients should be closely observed by both sides to avoid adverse reactions or reduce the damage to a minimum. This vast majority of ADR after drug withdrawal or can be cured by symptomatic treatment, a few reactions are irreversible, mainly for severe allergic reactions and the cylinder hydraulic system damage. 3.4 ADR reports, the proposed design in traditional Chinese medicine, Western medicine has many differences, Chinese medicine has its own characteristics, the occurrence of ADR, in addition to formulation factors. Pieces often have to consider the source, origin and other complex situations. And more components of Chinese medicine preparations, especially the soups, and more generally for large prescription, in the current use of the uniform can not complete the ADR report form, in particular, has not been determined suspicious elements in time. Drugs used do not reflect the full situation. Chinese ADR reports, it is proposed be designed to meet the needs of Chinese ADR monitoring. ADR of Chinese medicine has its particularity, drugs are complicated, difficult to determine cause and effect, resulting in higher utilization rates, although clinical medicine, but the low rate of ADR reports. Chinese ADR monitoring is of A. DR Monitoring focuses on how to design features to meet the ADR reporting form of Chinese medicine, is still a need to seriously study and solve problems. 【
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