|
|
Analysis of 250 cases of drug-induced kidney injury |
GUO Rong1, LI Jun1, CHEN Lu1, MA Xiaolong1, ZHAO Hui2, SHI Wenhui1 |
1. Department of Pharmacy; 2. Quality Management Section,Beidaihe Rehabilitation and Recuperation Center of PLA, Qinhuangdao 066100, China |
|
|
Abstract Objective To investigate the regularities and related factors of DIKI, and provide reference for clinical drug use. Methods Two hundred and fifty cases of DIKI reported in our hospital between 2006 and 2020 were collected and analyzed statistically in terms of gender, age, time of occurrence, administration routes, outcomes, correlations with ADRs, and the types of drugs involved. Results Among these cases of DIKI, 153 were females (61.20%) and 97 were males (38.80%). Most of the cases of DIKI occurred 1 to 5 years after medication (27.60%). 210 of these cases were above 40 (84.00%), and 162 had sequelae (64.80%). Seventeen categories of drugs and 69 types of drugs were involved, the majority of which were traditional Chinese medicine preparations (62.40%). Conclusions Traditional Chinese medicine preparations, antipyretics, analgesics, anti-inflammatory drugs and antibiotics should be monitored more rigorously to reduce the damage of drugs to patients' renal function.
|
Received: 21 April 2021
|
|
|
|
|
[1] |
曹 培,康 宇,张志清.代谢组学技术在药物性肾损伤研究中的应用现状[J],中国临床药理学杂志,2020,36(18):2922-2925.
|
[2] |
史 伟,杨志玲,朱慧果. 85 例抗菌药物致药源性肾损伤分析[J].中国医院用药评价与分析,2019,19(10):1254-1258.
|
[3] |
任春霞,余自成.药物性急性肾损伤的研究进展[J].中国新药与临床杂志,2019,38(5):257-262.
|
[4] |
于承暄,郭代红,姚 翀,等.968 例药源性肾损伤分析及抗感染药物相关风险信号挖掘[J].中国药物警戒,2020,17(12):894-899.
|
[5] |
史文慧,郭 蓉,罗朝利,等.102例冠心苏合丸相关性肾损害不良反应分析[J],中国药物应用与监测,2011,8(5):297-299.
|
[6] |
史文慧,裴素萍,郭 蓉,等.32 例龙胆泻肝丸引起肾损害的不良反应分析[J].中国药物应用与检测,2015,12(4):231-234.
|
[7] |
费 菲.马兜铃酸肾损害:从科学问题到临床意义的多轮审视-北京大学肾脏疾病研究所副所长杨莉谈马兜铃酸肾病的机制研究和临床诊疗策略[J].中国医药科学,2018,8(24):1-3.
|
[8] |
曹小仁,龙明鹏,杨 岚.中药引起药物性肾损害的原因探析[J].世界最新医学信息,2018,18(88):226-227.
|
[9] |
徐志祥,孙思聪,陈 理,等.112例药物性肾损害的潜伏时间及其影响因素的分析[J].中国医院药学杂志,2020,40(17):1864-1868.
|
[10] |
周建华.非甾体抗炎药物所致的肾损害[J].临床儿科杂志,2005,23(12):884-886.
|
[11] |
马 杰,文煜冰,吴海婷,等.55例急性间质性肾炎的临床特点及病因分析[J].临床药物治疗杂志,2021,19(5):51-55.
|
[12] |
Mehta R L,Awdishu L,Davenport A,et al. Phenotype standardization for drug-induced kidney disease[J]. Kidney Int,2015,88(2):226-234.
|
[13] |
马銘悦,郭恩綿.郭恩綿教授治疗慢性肾炎药对论述[J].武警医学,2020,31(10):912-916.
|
[14] |
陈新谦,金有豫,汤 光.新编药物学[M].18版.北京:人民卫生出版社,2019:20-21.
|
|
|
|