中国药物警戒 ›› 2020, Vol. 17 ›› Issue (9): 631-635.
DOI: 10.19803/j.1672-8629.2020.09.18

• 安全与合理用药 • 上一篇    下一篇

左氧氟沙星诱发谵妄文献分析

杨雷1, 王凤玲2, 吴京卫3, 黎军4,*   

  1. 1成都医学院第一附属医院泌尿外科,四川 成都 610500;
    2成都医学院第一附属医院药学部,四川 成都 610500;
    3四川大学华西广安医院药剂科,四川 广安 638000;
    4成都医学院第一附属医院消化内科,四川 成都 610500
  • 收稿日期:2020-08-17 修回日期:2020-08-17 出版日期:2020-09-15 发布日期:2020-08-17
  • 通讯作者: *黎军,男,博士,主治医师,消化系统疾病。E-mail:84183967@qq.com
  • 作者简介:杨雷,男,硕士,主治医师,泌尿系统感染。

Literature Analysis of Levofloxacin-induced Delirium

YANG Lei1, WANG Fengling1, WU Jingwei3, LI Jun4,*   

  1. 1Department of Urology, the First Affiliated Hospital of Chengdu Medical College, Chengdu Sichuan 610500, China;
    2Department of Pharmacy, the First Affiliated Hospital of Chengdu Medical College, Chengdu Sichuan 610500, China;
    3Department of Pharmacy, West China Guang'an Hospital, Sichuan University, Guang'an Sichuan 638000, China;
    4Department of Gastroenterology, the First Affiliated Hospital of Chengdu Medical College, Chengdu Sichuan 610500, China
  • Received:2020-08-17 Revised:2020-08-17 Online:2020-09-15 Published:2020-08-17

摘要: 目的 探讨左氧氟沙星诱发谵妄的临床特点及相关因素,为临床更加合理安全地使用左氧氟沙星提供参考。方法 检索中国知网、维普网、万方数据、PubMed等数据库,检索时限均从建库至2019年1月7日。以“左氧氟沙星”“谵妄”或“精神异常”“精神失常”等为关键词,选择所有关于左氧氟沙星诱发谵妄的原始文献报道,提取相应指标的数据,并进行综合分析。结果 检索文献共712篇,按照纳入排除标准,提取到46篇文献,共计57例左氧氟沙星诱发谵妄的案例,其中男性35例(61.40%),女性22例(38.60%);以65岁以上的老年人最为多发,共有28例(49.12%)。结论 虽然左氧氟沙星诱发谵妄的发生率较低,但会严重影响患者的治疗和心理健康等,临床使用时需引起注意,出现症状时,应及时做出正确的处理。

关键词: 左氧氟沙星, 谵妄, 精神异常, 文献分析

Abstract: Objective To explore the clinical characteristics and related factors of levofloxacin-induced delirium so as to provide reference for rational and safe use of levofloxacin in clinic. Methods Such databases as CNKI, VIP, Wanfang, and PubMed were searched for related articles published since inception. With "levofloxacin", "delirium", "psychosis" or "disorder" as the key words, all the original literature on levofloxacin-induced delirium was selected and the data about the corresponding indicators was extracted and analyzed. Results A total of 712 articles were retrieved. According to the inclusion and exclusion criteria, 46 articles were accepted and 57 cases of delirium induced by levofloxacin were collected, 35 of whom (61.40%) were males and 22 (38.60%) were females. Among these cases of delirium induced by levofloxacin, 29 involved elders above 65 years old (50.88%). Conclusion Despite the low incidence of delirium induced by levofloxacin, the therapeutic effect and mental health of patients are affected, making it necessary to pay attention to the clinical use. When symptoms occur, correct regimens should be adopted without delay.

Key words: levofloxacin, delirium, psychosis, literature analysis

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