文章摘要
张桂凡,彭婕.利格列汀致不良反应文献分析[J].安徽医药,2022,26(6):1267-1272.
利格列汀致不良反应文献分析
Literature analysis of adverse reactions induced by linagliptin
  
DOI:10.3969/j.issn.1009-6469.2022.06.049
中文关键词: 药物相关性副作用和不良反应  利格列汀  糖尿病  二肽基肽酶 -4  文献分析
英文关键词: Drug-related side effects and adverse reactions  Linagliptin  Diabetes mellitus  Dipeptidyl peptidase-4  Literature analysis
基金项目:
作者单位
张桂凡 南京大学医学院附属鼓楼医院药学部江苏南京 210008 
彭婕 南京大学医学院附属鼓楼医院药学部江苏南京 210008 
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中文摘要:
      目的探讨利格列汀致不良反应的特点与规律,为临床合理用药提供参考依据。方法检索 2011年 5月至 2020年 12月中国知网、万方数据库、维普网、 PubMed数据库,对利格列汀致不良反应相关文献进行统计和分析。结果纳入文献 15篇,共 16例病人,其中男性 11例,女性 5例,以老年( ≥60岁)多见( 12例, 75.00%)年龄( 67.94±11.66)岁;大多在用药后 6个月内发生( 15例, 93.75%)1例出现在用药后 56个月;不良反应累及皮肤( 11例)、消化(,4例)及泌尿( 1例)三大系统,其中最常见的为大疱性类天疱疮( BP)9,例(68.75%),另外,斑丘疹型药疹 1例( 6.25%)、急性胰腺炎 2例( 12.50%)、肝损伤 2例( 12.50%)、急性肾损伤 1例( 6.25%);经停药及相应处理后, 16例病人均好转或痊愈。结论临床应警惕利格列汀的用药风险,加强安全性监测,尽早识别和处理相关不良反应,保障病人用药安全。
英文摘要:
      Objective To explore and analyze the characteristics and regularity of the ADR induced by linagliptin, and to providereference for rational drug use in clinical practice.Methods Data of CNKI, Wanfang database, CQVIP, and PubMed databases fromMay 2011 to December 2020 were retrieved for ADR induced by linagliptin,and literature were collected for further statistical analysis.Results Fifteen literature were selected, including 16 patients, which contained 11 males and 5 females. Most of them (12 cases,75.00%) were elderly (≥ 60 years old), with an mean age of (67.94±11.66) years old. Most ADR (15 cases,93.75%) occurred within 6months, and 1 case occurred 56 months after medication. ADR involved skin system (11 cases), digestive system (4 cases) and urinarysystem (1 case), including bullous pemphigoid (BP) 9 (68.75%) cases, maculopapular drug eruption 1 (6.25%) case, acute pancreatitis 2(12.50%) cases, liver injury 2 (12.50%) cases, and acute kidney injury 1 (6.25%) case. After drug withdrawal and corresponding treatment, 16 patients were all improved or recovered.Conclusion We should be alert to the medication risk of linagliptin, strengthen thesafety monitoring, identify and handle ADR as early as possible, and ensure the medication safety for patients.
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