摘要
目的:探讨氟喹诺酮类药物引起血糖异常的特点,为临床安全用药提供参考。方法:通过数据库搜索2000年1月—2010年1月氟喹诺酮类药物引起血糖异常的相关文献。结果:引起血糖异常涉及7种氟喹诺酮类药物,共71例;60岁以上老年人多见,有44例(61.97%);低血糖多见,一般出现在首次用药后l~3d,高血糖通常发生在首次用药3d后;引起血糖异常的氟喹诺酮类药物以加替沙星居多,有46例(64.78%)。结论:氟喹诺酮类药物引起血糖异常与多种因素有关。医务人员应重视氟喹诺酮类药物引起血糖异常的现象,在用药时应加强对患者的血糖监测,确保用药安全。
OBJECTIVE: To discuss the characteristics of quinolones-induced pathoglycemia for references of clinical safe medication. METHODS: The pertinent literature about quinolones-induced pathoglycemia between Jan. 2000 to Jan. 2000 was searched from database. RESULTS: 7 quinolone drugs were involved in a total of 71 pathoglycemia cases. 44 patients (61.97%) aged over 60 years old. Hypoglycemia was the major presentation and it appeared more often on the first 3 days in initial use yet hyperglycemia usually occurred 3 days after the first medication. Of all the quinolones that induced pathoglycemia, gatifloxacin took the lead with 46 cases (64. 78% ). CONCLUSION: The occurrence of quinolones-induced pathoglycemia was related to a variety of factors. Physicians should be alert to quinolones-induced pathoglycemia and strengthen the monitoring on patient's blood glucose level so as to ensure safe medication.
出处
《中国医院用药评价与分析》
2010年第9期839-841,共3页
Evaluation and Analysis of Drug-use in Hospitals of China