药师对住院病人156例处方成功干预的案例研究  

Case study of 156 pharmacist's effective interventions of impatiens' drug use

作　　者：施楠楠[1] 甄健存[1] 陈宁[1] 万杰[1] 

机构地区：[1]北京积水潭医院药剂科,北京100035

出　　处：《临床药物治疗杂志》2012年第5期60-62,共3页Clinical Medication Journal

摘　　要：目的:探讨病房药房药师对临床合理用药干预的内容,促进药师参与临床合理用药。方法:选取2009-2010年病房药房药师对住院病人的成功用药干预记录共156例,按干预项目进行统计分析。结果:处方用药与临床诊断不符,药物剂量、剂型、用法不当,注射剂溶媒选择不当,不当的药物相互作用,存在说明书禁忌用药,疑似重复用药,其他用药不适宜情况,无正当理由超说明书用药的构成比分别为5.77%、30.13%、21.79%、17.31%、1.28%、14.10%、8.97%、0.64%。结论:病房药房药师应具备扎实的专业知识,在完成处方审核时应选择合适的方式与医生沟通,与临床药师合作,有理有据地向医生提出建议,提高医生的接受率,促进合理用药。Object： To study pharmacists＇ approach of effective intervention over drug use and to promote pharmacists＇ participation in clinical drug use. Methods： We collected the data of pharmacists＇ drug intervention to inpatients and the follow-up results from 2009 to 2010 to analyse the components of the intervention. Results： Inconsistency between prescription drugs and the clinical diagnosis was 5.77%, Drugs dosage, dosage forms, usage undeserved 30.13%, inappropriate choice of injection solvents 21.79%, improper drug＇interactions 17.31%, Existence of manual taboo drug use 1.28%, suspectedly repeated drug 14.10%,other drugs Inappropriate situations 8.97%,ultra manual medicine without good reason 0.64%. Conclusion： Pharmacists should improve their professional abilities to promote rational drug use. The intervention of pharmacists should be based on sound evidence and reasonings, close cooperation with clinical pharmacist. Meanwhile, pharmacists should communicate with physicians appropriately to improve its accepting rate of physicians.

关 键 词：医院药师 合理用药 干预方式 

分 类 号：R969.3[医药卫生—药理学]