英夫利西单抗在类风湿性关节炎和强直性脊柱炎的用药观察和护理
摘要
目的:探讨应用英夫利西单抗治疗类风湿性关节炙和强直性脊柱炎的用药观察和合理护理方法。方法;纳入使用英夫利西单抗的共134例类风湿性关节炎和强直性脊柱炎的患者,配置药物采取严格的无菌操作,采用先慢后快的输注方式,输液期间密切观察不良反应的发生。结果:1例患者出现过敏反应,及时停止输液并且采取治疗后,恢复输液,未再出现不良反应。结论:有效的护理干预和规范操作可有效降低英失利西单抗治疗过程中不良反应的发生。
参考文献2
-
1D'Haens DR..Infliximab as disease2modifying therapy[J].Eur J Gastroenterol Hepatol,2003,15 (3):2332237.
-
2鲍春德.英夫利西单抗治疗类风湿关节炎、强直性脊柱炎与克罗恩病[J].中国新药与临床杂志,2008,27(3):233-236. 被引量:40
二级参考文献16
-
1侯勇,张奉春,黄烽,吴东海,鲍春德,倪立青,姚晨.Infliximab治疗类风湿关节炎的随机双盲平行多中心临床试验[J].中华风湿病学杂志,2006,10(11):658-663. 被引量:34
-
2王莉莎,黄烽,张江林,邓小虎,张亚美,张莉芸,郭军华.肿瘤坏死因子拮抗剂在治疗强直性脊柱炎中的安全性分析[J].中国新药杂志,2007,16(7):556-561. 被引量:24
-
3CHOY EH, PANAYI GS. Cytokine pathways and joint inflammation in rheumatoid arthritis[J]. N Engl J Med, 2001, 344(12): 907-916.
-
4RIGBY WF. Drug insight: different mechanisms of action of tumor necrosis factor antagonists-passive-aggressive benavior? [J]. Nat Clin Pract Rheumatol, 2007, 3(2): 227-233.
-
5SCALLON B, CAI A, SOLOWSKI N, et al. Binding and functional comparisons of two types of tumor necrosis factor antagonists[J]. J Pharmacol Exp Ther, 2002, 301 (2): 418-426.
-
6St CLAIR EW, van DER HEIJDE DM, SMOLEN JS, et al. Combination of infliximab and methotrexate therapy for early rheumatoid arthritis: a randomized, controlled trial[J]. Arthritis Rheum, 2004, 50( 11 ) : 3432-3443.
-
7GOEKOOP-RUITERMAN YP, de VRIES-BOUWSTRA JK, ALLAART CF, et al. Clinical and radiographic outcomes of four different treatment strategies in patients with early rheumatoid arthritis (the BeSt study) : a randomized, controlled trial [J]. Arthritis Rheum, 2005, 52(11 ) : 3381-3390.
-
8MAINI RN, BREEDVELD FC, KALDEN JR, et al. Sustained improvement over two years in physical function, structural damage, and signs and symptoms among patients with rheumatoid arthritis treated with infliximab and methotrexate[J]. Arthritis Rheum, 2004, 50(4) : 1051-1065.
-
9van DER BIJL AE, GOEKOOP-RUITERMAN YP, de VRIESBOUWSTRA JK, et al. Infliximab and methotrexate as induction therapy in patients with early rheumatoid arthritis[J]. Arthritis Rheum, 2007, 56(7): 2129-2134.
-
10van DER HEIJDE D, DIJKMANS B, GEUSENS P, et al. Efficacy and safety of infliximab in patients with ankylosing spondylitis: results of a randomized, placebo-controlled trial (ASSERT)[J]. Arthritis Rheum. 2005 Feb; 52(2): 582-591.
共引文献39
-
1赵艳,杨兆琼.静脉输注英夫利西单抗出现过敏性休克1例[J].医学信息(医学与计算机应用),2014,0(29):342-342. 被引量:1
-
2陈传杰,陆春.英夫利西与银屑病的相关研究进展[J].中国新药与临床杂志,2009,28(3):167-170.
-
3徐青华,陆芹,陆浩惠,夏青.类克在治疗炎症性关节病中的应用与护理[J].实用临床医药杂志(护理版),2009,5(8):36-37. 被引量:4
-
4戈兰,方蘅英,李薇.117例强直性脊柱炎病人注射英夫利西单抗的观察及护理[J].全科护理,2009,7(26):2359-2360. 被引量:6
-
5安娜,王效影,席延荣.英夫利西单抗治疗强直性脊柱炎的护理[J].中华现代护理杂志,2009,15(36):3894-3895.
-
6时建铨,陈俊,江炜炜,陈瑶,仲玲玲,徐俊.英夫利西单抗对前脑缺血再灌注大鼠P-糖蛋白表达的影响[J].中风与神经疾病杂志,2010,27(3):203-204.
-
7杨柳.英夫利昔单抗治疗强直性脊柱炎患者的护理[J].护理学杂志(综合版),2010,25(5):28-30. 被引量:7
-
8陈国强,郭冬梅,张红卫,黎志峰,余旸弢.英夫利西单抗注射安全性的临床观察[J].实用医学杂志,2010,26(13):2415-2416. 被引量:15
-
9林奋强.强直性脊柱炎早期防治[J].中外医疗,2010,29(23):24-25.
-
10李保兰.“类克”用于治疗强直性脊柱炎临床护理[J].中国急救复苏与灾害医学杂志,2011,6(2):191-191.
-
1过孝.英夫利西在克罗恩病患者中的应用及护理[J].齐鲁护理杂志(上旬刊),2012,18(12):103-103. 被引量:1
-
2阚燕.63例应用英夫利西单抗治疗的护理体会[J].天津护理,2010,18(4):202-203. 被引量:5
-
3吕余珠.英夫利西单抗治疗克罗恩病11例临床护理[J].齐鲁护理杂志(上旬刊),2012,18(10):86-87. 被引量:2
-
4李汝珍.创伤性休克急救护理[J].国际医药卫生导报,2002,8(07B):111-111.
-
5陈欢乐,李素蘋.英夫利西单抗治疗类风湿性关节炎的护理[J].护理与康复,2010,9(4):358-359. 被引量:4
-
6李志兰.英夫利西单抗治疗克罗恩病伴发肛门疾病的观察及护理体会[J].现代中西医结合杂志,2012,21(33):3742-3744. 被引量:2
-
7黎志锋,陈国强,张红卫.英夫利西单抗治疗溃疡性结肠炎合并强直性脊柱炎临床分析[J].中国现代药物应用,2011,5(22):62-63. 被引量:2
-
8安娜,王效影,席延荣.英夫利西单抗治疗强直性脊柱炎的护理[J].中华现代护理杂志,2009,15(36):3894-3895.
-
9黄美娟,龙英华,张萍,苏润婵,林少珍.英夫利西治疗克罗恩病的观察与护理[J].中华现代护理杂志,2009,15(5):451-453. 被引量:3
-
10郁维红.英夫利西单抗治疗类风湿性关节炎25例的给药护理[J].护理与康复,2011,10(3):269-270. 被引量:1