目的: 探讨黄药子及其制剂引起肝损害的发生情况,为临床合理应用黄药子提供参考。 方法: 通过检索现代医学期刊数据库中有关黄药子及其相关制剂致肝损害的临床报道,进行文献计量学分析。 结果: 73.8%的患者在服用黄药子剂量达300~1 200 g后发病,且具有日剂量越大、潜伏期越短,累积剂量越大、病情越重等特点。 结论: 黄药子作为临床治疗甲状腺疾患常用药,临床医师/药师应严格控制用药剂量,加强合理用药,尽量避免黄药子致药物性肝损害的发生。
Objective: To analysis the present situation of liver injury caused by Rhizoma Dioscoreae Bulbiferae and related Preparations. Method: The clinical reports about the liver injury collected from medical literature were bibliometrically analyzed. Result: 73.8% of patients cause liver damage after taking Rhizoma Dioscoreae Bulbiferae when doses reach 300-1200 g. Conclusion: Clinical physicians/pharmacists should control the dosage strictly to avoid the drug-induced liver injury.