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目的:对社区药物使用中发生的不良反应进行分析,并总结其有效的管理措施。方法:选取长寿区江南街道社区卫生服务中心2011年6月-2014年6月收治的60例患者作为研究对象,对其临床资料进行回顾分析,总结其不良反应发生情况和其管理措施。结果:60例患者中,诊断结果与用药不符者2例,占3.3%,频次不合理者4例,占6.7%,用量不合理者7例,占11.7%,使用疗程过长者16例,占26.7%,配伍不合理者32例,占53.4%,治疗总有效率为100%,无死亡者。结论:社区的药物管理过程中,应根据实际管理情况,结合不同药物可能造成的不良反应,积极采取有效的管理措施,以保证药物的合理使用,降低药物的不良反应发生率。
OBJECTIVE: To analyze the adverse reactions occurred in community drug use and summarize its effective management measures. Methods: 60 patients from June 2011 to June 2014 in Jiangnan Street Community Health Service Center of Changshou District were selected as the research object. The clinical data were retrospectively analyzed, and their adverse reactions and management measures were summarized. Results: Of the 60 patients, 2 cases did not match the diagnostic results with the medication, accounting for 3.3%, 4 cases were unreasonable, accounting for 6.7%, 7 cases were unreasonable, accounting for 11.7% Accounting for 26.7%, unreasonable in 32 cases, accounting for 53.4%, the total effective rate was 100%, no deaths. Conclusion: In the process of drug administration, the community should take effective management measures based on the actual management situation and the possible adverse reactions caused by different drugs to ensure the rational use of drugs and reduce the incidence of adverse drug reactions.