临床药师干预对神经外科合理用药指标的影响分析  

Effects of Clinical Pharmacists' Intervention on Rational Drug Use Index of Neurosurgery Department

作　　者：向竹枝 徐兰[2] 吴方建 Xiang Zhuzhi;Xu Lan;Wu Fangjian(Department of Pharmacy, General Hospital of Yangtze River Shipping, Wuhan 430010, China;Department of Pharmacy, the 94th Hospital of PLA)

机构地区：[1]长江航运总医院药剂科,武汉430010 [2]解放军第94医院药学科

出　　处：《中国药师》2018年第6期1061-1064,共4页China Pharmacist

摘　　要：目的:探讨临床药师参与神经外科临床药学工作的效果及对合理用药指标的影响。方法:回顾性分析干预前后神经外科每月药占比、抗菌药物使用率、使用强度等指标,并对2017年4月和6月所有药品的消耗金额和用药频度及出院病历进行统计分析。结果:干预后神经外科药占比、人均住院天数、住院患者抗菌药物使用率和使用强度等指标均有明显改善;在合理用药方面如药品的配伍使用、用法用量、超疗程用药、抗菌药物使用等方面与干预前相比有显著差异(P<0.01)。结论:临床药师全面深入神经外科的查房、会诊等实践后,能有效地协助并指导临床用药,提高临床合理用药水平。Objective： To explore the effect of clinical pharmacists participating in the clinical pharmacy work in neurosurgery department and the influence on the rational drug use index. Methods： A retrospective analysis on the monthly drug proportion,antibacterial drug utilization rate and intensity,and the other indicators before and after the intervention performed by clinical pharmacists in neurosurgery department was carried out,and the consumption sum,DDDs and medical records were statistically analyzed in April and June 2017. Results： After the intervention,the proportion of medicine,hospital days per capita,use rate and intensity of antimicrobial drugs,and the other rational drug use indices were significantly improved in neurosurgery department,and the differences in the indices before and after the intervention were significant（ P〈0. 01）. Conclusion： Consultation practice of clinical pharmacists in neurosurgery department can effectively assist and guide the clinical treatment and improve the level of rational drug use.

关 键 词：神经外科 临床药师 药学干预 合理用药指标 药占比 

分 类 号：R97[医药卫生—药品]