中药针剂的不良反应原因及护理防治对策与分析

Causes of adverse reactions and nursing countermeasures and analysis of chinese medicine injection

目的:观察分析中药针剂的不良反应(ARD)原因,提出护理防治措施,降低不良反应发生率。方法:对4种针剂所引起的反应分为:发热反应,毒性反应,过敏反应,特异质反应。依据不良反应的具体表现进行归类。逐例分析查找原因,并提出护理预防措施。结果:本组800例静脉滴注中药针剂,36例发生不良反应。其中发热反应12例,毒性反应7例,过敏反应9例,特异质反应2例,发热伴过敏反应6例。结论:中药针剂发生不良反应的原因复杂,且无特异性拮抗剂,加强中药针剂围输注期的护理及预防,可以及时发现、处理其不良反应,最大限度地降低药源性损害,同时也能够有效的减少或避免医疗纠纷。

Objective： To observe the analysis of traditional Chinese medicine injections of adverse reactions （ARD） because, on health care prevention and control measures to reduce the incidence of adverse reactions. Methods： four kinds of reactions caused by injection is divided into fever, toxicity, allergic reactions, idiosyncratic reaction. Based on the specific performance of the adverse reactions are classified. By-case analysis to find the causes and propose preventive care measures. Results： 800 cases of intravenous injection of TCM, 36 cases of adverse reactions. Fever of which 12 cases of toxicity in 7 cases, allergic reactions in 9 cases, idiosyncratic reaction in 2 cases, fever and allergic reactions in 6 cases. Conclusion： Chinese medicine injection complex causes of adverse reactions, and non-specific antagonist, to strengthen TCM injections around the infusion period, care and prevention, you can discover and deal with its adverse effects, minimize drug-induced damage, but also can effectively reduce or prevent medical disputes.