临床药师干预特殊人群不合理用药的回顾性分析  

Retrospective analysis of clinical pharmacist intervening irrational drug use on special groups

作　　者：刘洋[1] 杜婧[2] 李小龙[3] 周妙[1] 王焱[1] 

机构地区：[1]石家庄市第四医院药剂科,河北石家庄050011 [2]石家庄市第五医院药剂科,河北石家庄050021 [3]石家庄市第四医院乳腺外科,河北石家庄050011

出　　处：《中国医药导报》2017年第8期132-134,138,共4页China Medical Herald

基　　金：河北省医学科研重点课题计划项目(ZD20150887);河北省石家庄市科学技术研究与发展指导计划项目(161460903)

摘　　要：目的促进临床特殊人群患者的合理用药。方法回顾性分析2015年1~12月石家庄市第四医院临床药师对孕产妇、哺乳期妇女、老年患者及新生儿等特殊人群实施的药学干预,分析临床存在的不合理用药情况。结果临床药师干预特殊人群住院医嘱共计216例次,其中医师采纳干预185例次,干预原因主要是用法用量不适宜(42.10%)、品种选择不合理(19.44%)、重复用药(19.00%)等,干预药物种类以抗生素为主(72.70%)。结论医生应重视对药品说明书和用药指导原则的学习,临床药师为特殊人群临床合理用药提供有力的药学服务和帮助,共同努力降低用药的不良反应,保证用药安全有效。Objective To promote the rational use of drugs in special groups. Methods The drug intervention in pregnant women, lactating women, senile patients and newborns in the Fourth Hospital of Shijiazhuang from January to December 2015 were analyzed retrospectively, and the irrational drug use was analyzed. Results A total of 216 cases of special groups instructions were intervened by clinic pharmacists in 2015, among which physicians adopted 185 cases.The main reasons for intervention were mainly inappropriate dosage（42.10%）, irrational selection（19.44%） and repeated use（19.00%）. The main drug types were antibiotics（72.70%）. Conclusion Doctors should pay attention to the study of drug instructions and guidelines, clinical pharmacists should provide powerful pharmaceutical care and help for clinical rational drug use of special groups, to reduce adverse drug reaction and make sure that the drug is safe and effective.

关 键 词：用药干预 临床药师 回顾性分析 特殊人群 不合理用药 抗感染 抗肿瘤 

分 类 号：R952[医药卫生—药学]