药师干预对我院门/急诊麻醉药品应用的影响  

Effects of Pharmacist Intervention on the Application of Narcotic Drugs in Outpatient and Emergency Department of Our Hospital

作　　者：郑晓林[1] 张三平[1] 李俊明[1] 

机构地区：[1]广西医科大学第五附属医院,广西柳州545006

出　　处：《中国药房》2012年第46期4341-4343,共3页China Pharmacy

摘　　要：目的:考察药师实施处方干预行为对我院门、急诊麻醉药品应用产生的影响。方法:通过我院药师采用对门、急诊麻醉药品处方进行实时审核、评估和干预的方法,出现疑义处方时及时向医师反馈,并对疑义处方进行归纳统计;同时采用自身对照干预方法,统计我院2008-2011年门、急诊麻醉药品处方,对麻醉药品处方数量、疑义处方数、用药频度(DDDs)、日均费用(DDC)、癌症患者用药情况等指标进行分析。结果:经药师干预后,我院麻醉药品疑义处方大幅减少,处方合格率由81.09%上升至99.43%;盐酸哌替啶注射液用于癌症疼痛治疗的处方比例下降明显,由2008年的21.04%下降到2011年的2.77%;至2011年,所有吗啡制剂用于癌症疼痛治疗的处方比例超过95.00%,盐酸吗啡缓释片的DDDs排序4年来均居首位,盐酸吗啡片与注射液用量均小幅增加;磷酸可待因片用于癌症疼痛治疗的处方比例占30%～50%,较少作为镇痛药使用。结论:通过实施药师干预,有效促进了我院门、急诊麻醉药品的合理应用水平。OBJECTIVE： To inspect the impact of prescription intervention behavior of pharmacists on the application of narcotic drugs in outpatient and emergency department of our hospital. METHODS： The narcotic drugs descriptions in outpatient and emergency department were real-time checked, evaluated and intervened, and pharmacist timely afforded feedback to the physician and summarized doubt prescriptions. With self-controlled intervention study, narcotic drugs descriptions in outpatient and emergency department of our hospital from 2008 to 2011 were analyzed retrospectively statistically in respects of the number of prescriptions for narcotic drugs and doubt prescriptions, DDDs, DDC and drug use of cancer patients. RESULTS： The number of the doubt prescription of narcotic drugs was substantially reduced after pharmacist intervention. The pass rate of the prescriptions was increased from 81.09% to 99.43%. The prescription proportion of Pethidine hydrochloride injection in the treatment of cancer pain significantly decreased from 21.04% in 2008 down to 2.77% in 2011. Till 2011, the prescription proportion of all morphine preparations for cancer pain was more than 95.00%, the DDDs sort of Morphine hydrochloride sustained-release tablets ranked first in four years, and the consumption of Morphine hydrochloride tablets and injection was increased slightly. Prescription proportion of Codeine phosphate tablets for cancer pain was between 30% and 50%,and was less used for analgasia. CONCLUSION： By pharmacists interventions,rational use of narcotic drugs have been improved in outpatient and emergency department of our hospital.

关 键 词：麻醉药品 癌症疼痛 用药频度 干预行为 

分 类 号：R971.2[医药卫生—药品] R969.3[医药卫生—药学]