基于双系统药物相互作用软件提供的药学服务模式初探  

A preliminary study on the mode of pharmaceutical care based on the two-system drug interaction software

作　　者：陈冬莲 顾智淳 甘毅 徐珊珊[4] 郑晓圆 刘晓琰[2] CHEN DongLian;GU ZhiChun;GAN Yi;XU ShanShan;ZHENG XiaoYuan;LIU XiaoYan(Department of Phar-macy,Affiliated Hospital of Youjiang National Medical University,Guangxi Baise 533000,China;Department of Pharmacy,Renji Hospital Affiliated to School of Medicine,Shanghai Jiaotong University,Shanghai 200127,China;Department of Pharmacy,People's Hospital of Qionghai City,Hainan Province,Hainan,Qionghai 571400,China;Department of Pharmacy,Shanghai Deji Hospital Affiliated to Ninth Clinical Medical College of Qingdao University,Shanghai 200331,China;Department of Pharmacy,Affiliated Hospital of Jiangnan University,Jiangsu,Wuxi 214000,China)

机构地区：[1]右江民族医学院附属医院药剂科,广西百色533000 [2]上海交通大学医学院附属仁济医院药学部,上海200127 [3]海南省琼海市人民医院药剂科,海南琼海571400 [4]青岛大学第九临床医学院附属上海德济医院药剂科,上海200331 [5]江南大学附属医院药剂科,江苏无锡214000

出　　处：《药学服务与研究》2018年第6期456-459,共4页Pharmaceutical Care and Research

基　　金：上海交通大学医学院医院药学科研基金重点项目(JDYX2016ZD003)

摘　　要：目的:在前期研究的基础上探索更优的药学服务模式,以提高临床用药安全性。方法:通过使用Micromedex和Lexicomp数据库,筛选心血管重症监护病房(cardiovascular intensive care unit,CCU)病人潜在的药物相互作用,对筛选级别为Contraindicated、Major、Moderate或X级、D级、C级的药物相互作用,需结合病人情况提出优化建议或监测措施。结果:通过该药学服务模式临床药师可快速、准确、有效地为临床提供药学服务。结论:基于双系统药物相互作用软件为病人提供药学服务的模式可使临床药师的干预更快速、准确和有效。Objective:To explore a better mode of pharmaceutical care based on previous researches,so as to improve the safety of clinical medication.Methods:Potential drug interactions were screened by Micromedex and Lexicomp databases for those patients stayed in the cardiovascular intensive care unit(CICU).For those drug interactions at contraindicated,major and moderate or X,D and C screened levels,optimization suggestions or monitoring measures were recommended in accordance with patient conditions.Results:With this novel mode of pharmaceutical care,clinical pharmacists could offer pharmaceutical care rapidly,accurately and effectively.Conclusion:The mode of pharmaceutical care based on the two-system drug interaction software could enable clinical pharmacists to provide more rapid,accurate and effective intervention in clinical practice.

关 键 词：药物相互作用 药学服务 临床药师 

分 类 号：R9-14[医药卫生—药学] R969.3