646例药源性心血管疾病的文献分析

Literature Analysis of 646 Cases of Drug-induced Cardiovascular Diseases

目的 :了解药源性心血管疾病的发生情况及一般规律 ,从而指导合理用药。方法 :用文献计量学方法 ,对1995年～2000年国内公开报道的646例药源性心血管疾病的病例进行分析。结果 :646例药物引起的心血管疾病中 ,心律失常的发病率为59 8 %。诱发的药物涉及155种 ,其中心血管系统用药占37 2 % (240/646) ,为最多 ;品种以普罗帕酮引起的最多 (75例 )。致死病例35例(5 4 % ) ,致死药物亦以心血管系统用药居首位。药源性心血管疾病以中、老年人多见。结论 :做到合理用药 ,对心血管病患者的用药严密监测 。

OBJECTIVE:To find out the incidence and general patterns of drug-induced cardiovascular diseases and to guide rational use of drugs METHODS:By using literature metrological method 646 cases of drug-induced cardiovascular diseases which were reported in Chinese literatures in 1995～2000 were analysed RESULTS:Among those 646 cases,the incidence of arrhythmia was 59 8% The kinds of induced drugs were up to 155 and the most easily inducing one was cardiovascular system drug,which amounted to 37 2%(240/646) Propafenone had the highest incidence of all in inducing cardiovascular diseases(75 cases) There were 35(5 4%) fatal cases mainly caused by cardiovascular system drugs Most of the patients with drug-induced cardiovascular diseases were in middle-age and old age CONCLUSION:To reduce the rate of drug-induced diseases,cardiovascular system drugs should be rationally administrated and stictly supervised