广州中医药大学第一附属医院2008年药品不良反应调查报告

Analysis Adverse Drug Reactions of TCM Drugs in the First Affiliated Hospital of Guangzhou University of Chinese Medicine in 2008

目的:通过统计广州中医药大学第一附属医院2008年临床正常使用药品治疗疾病后,出现药品不良反应(ADR)的类型和主要临床表现,了解ADR的发生情况、处理情况、恢复情况,以及治疗ADR所需的医疗费用情况。方法:对我院2008年出现的药品不良反应所需用的各类费用,进行分析、概括、总结,得出用于治疗ADR所需的费用情况。结果:我院药物不良反应患者的医疗费用,是一个不可小视的医疗支出。结论:提醒医务人员,要按照有效、安全、经济、适宜的总体原则制订和实施治疗方案,注意用药安全,不可滥用药物,也不能忽视ADR对患者所造成的伤害和医药费用的浪费同时,ADR所带来的医疗费用,药品生产厂家、医疗机构和患者本身应该如何承担相关的费用比例,有待国家制定相应的法律、法规来具体规范。

Objective：The author gets the message about the generation,the handling,the recovery and the medical fees of the ADR by statisticsing the type and the major clinical manifestation of ADR caused by the normal pharmacotherapy in our hospital last year.Methods：By analysing and summarizing all forms of charges on ADR in our hospital in 2008,the author has the conclusions of the medical fees on the ADR treatment.Results：The medical fees on the ADR treatment can not be ignored.Conclusion：The purpose of this article is to remind the Medical Staff to formulate and practice a treatment scheme following the principle of being effective,safe,economic and appropriate,ensure the safety in utilization of drugs,stop the drug abuse and pay attention to the harm to the patient and waste of the medical expenses caused by the ADR.The ADR increases the extra load on medical system of our country,it is harmful to the patients on the health and the economy.At the meanwhile,the government should enact the appropriate laws and regulations in order to standardize how the drug manufacture,medical institutions and patients to assume the responsibility and the costs of the ADR.