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应重点关注并及时治疗,防止其在治疗过程中发生 multiple myeloma[EB/OL].(2022-12-08)[2023-08-02].
进展。 https://www. nccn. org/login? ReturnURL=https://www.
3.4 研究局限性 nccn.org/professionals/physician_gls/pdf/myeloma.pdf.
本研究的局限性为:(1)FAERS 数据库无法统计某 [ 8 ] 中国医师协会血液科医师分会,中华医学会血液学分
时间段内使用该药的具体人数,因此无法计算药物不良 会,黄晓军 . 中国多发性骨髓瘤诊治指南:2022 年修订
[J]. 中华内科杂志,2022,61(5):480-487.
反应的发生率;(2)该数据库的ADE报告主要来源于美
Chinese Hematology Association,Chinese Society of
国,亚洲人群的相关报告较少,ADE 的发生特点和因素
Hematology,HUANG X J. Guidelines for the diagnosis
在不同人群中可能存在偏差;(3)本研究虽然采用 ROR
and management of multiple myeloma in China:2022
法和 PRR 法排除了假阳性信号,但是 ROR 值和 PRR 值
revision[J]. Chin J Intern Med,2022,61(5):480-487.
的大小只能证明药物和ADE之间具有统计学关联性,药 [ 9 ] 张科,李波,宋崟,等. 基于FAERS数据库的利那洛肽风
物与ADE之间的因果关系仍需临床进一步研究。 险信号挖掘[J]. 中国药房,2022,33(22):2758-2761.
4 结语 ZHANG K,LI B,SONG Y,et al. Data mining of risk sig‐
本研究对FAERS数据库中塞利尼索的ADE信号进 nals for linaclotide based on FAERS database[J]. China
行挖掘分析,所得结果与药品说明书一致性较好,但也 Pharm,2022,33(22):2758-2761.
出现了装置相关性菌血症、睑板腺功能障碍、沙门菌性 [10] 吴紫阳,何娜,程吟楚,等. 基于美国FAERS数据库的恩
脓毒症等新的 ADE。临床在使用塞利尼索时应重点关 美曲妥珠单抗和维布妥昔单抗不良反应信号挖掘[J]. 中
注患者的血液系统毒性、胃肠道毒性和感染及侵染类疾 国药房,2022,33(6):740-744.
WU Z Y,HE N,CHENG Y C,et al. Data mining of
病等,可每周复查患者血常规,对患者的血液指标、感染
adverse drug reaction signals for ado-trastuzumab emtan‐
症状等进行监测,一旦出现异常应及时给予干预,以保
sine and brentuximab vedotin based on FAERS database
障患者安全用药。
[J]. China Pharm,2022,33(6):740-744.
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中国药房 2024年第35卷第2期 China Pharmacy 2024 Vol. 35 No. 2 · 213 ·