1999 Volume 1 Issue 3 Published: 28 December 1999
  

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    调查研究

  • 调查研究
    Wang Xiuyun;Fang Juanjuan
    1999, 1(3): 151-154.
    Abstract ( ) PDF ( )
    Objective: To find out the situation of drug-use in our hospital and show the importance of pharmaceutical care in hospitals. Methods: 218 medical records of the patients discharged from hospital in Apr. 1999 were sampled randomly, and 1301 prescriptions were analysed. The frequency of the same drug used, drugs used in combination and the drug interaction were calculated. Results: The prescriptions, each for use of drugs above six kinds, accounted for 75.4% . The prescriptions causing the rise of adverse drug interactions accounted for 12.7% . Conclusion: As drugs used in combination were so many, pharmaceutical care should be strengthened to assure the use in effective, safe and economic way.
  • 调查研究
    Ma Xiuyun;Cai Haodong;Zheng Hong;Duan Ying
    1999, 1(3): 154-159.
    Abstract ( ) PDF ( )
    Objective: To observe prospectively the adverse reactions of a new drug, lamivudine, for hepatitis B. Methods: The adverse reactions were observed and both hematology and biochemical analyses were made in two groups, with lamivudine 100 mg a day and the other with starch tablet by random double blind placebo control clinical method for twelve weeks, and then the treatment followed for forty to one hundred and fifty-six weeks with lamivudine 100 mg a day. Results: During the double blind treatment period, no significant differences were shown in their incidence of the adverse reactions and hematology and biochemical indices. Some light adverse reactions were produced in patients, but with good tolerance in the open treatment period. The most patients' liver function was improved. However, more studies must be done on whether it is associated with a hyperlipidaemia or cardiovascular complications. Conclusion: Lamivudine is safe for hepatitis B. It has few adverse reactions and can be use...更多d for a long time with care of the blood lipid profile.
  • 调查研究
    He Suiping Liang Jianhua
    1999, 1(3): 159-162.
    Abstract ( ) PDF ( )
    Objective: To analyze ADR distribution and the cost of treatment for ADR. Method:Original data of 126 ADR cases and of durgs used for the treatment of ADR were statistically analyzed; and the amount of money spent on drugs for treating ADR was calculated. Result:In 126 cases, ADRs caused by antibacterial drugs ranked first. The major clinical manifestations of ADR in decrease order of frequency were skin reactions, digestive system reactions, nervous system reactions and cardiovascular system reactions. Medium and severe reactions accounted for 71.4% ; the mean duration was 11.13 days; and 13 kinds of drugs were used most frequently. The expense in drugs only was 117675. 34 yuan, and the highest one used for a patient was 32315. 89 yuan. Conclusion: It would be helpful to decrease the occurance of ADR and improve the pharmaceutical care through the drug safety monitoring and the analysis of ADR-related cost.
  • 调查研究
    Tao Ye
    1999, 1(3): 162-164.
    Abstract ( ) PDF ( )
    Objective: To understand the contradictory effects of scopolamine in the treatment of asthma. Methods: The health condition of 9 old patients being treated with scopolamine for chronic bronchitis or pulmonary heart disease was analyzed. Results: 9 patients with dyspnea were exacerbated due to intravenous infusion of scopolamine. Six of nine patients turned to be unconscious and one died. Conclusion: In the treatment of senile chronic bronchitis and pulmonary heart disease, scopolamine should not be used, and other anticholinergics be used with care.