妇产专业临床药师参与70例次药学会诊及典型案例分析  

Participation of Clinical Pharmacists in Gynecology and Obstetrics in the Pharmaceutical Consultation of 70 Cases and Typical Case Analysis

作　　者：沐宇 唐莲[1] 彭兰[1] 侯顺玉[1] 周琴[1] 李静静[1] MU Yu;TANG Lian;PENG Lan;HOU Shunyu;ZHOU Qin;LI Jingjing(Affiliated Suzhou Hospital,Nanjing Medical University·Suzhou Municipal Hospital,Suzhou,Jiangsu,China 215002;Xuzhou Maternity and Child Health Care Hospital·Affiliated Xuzhou Maternity and Child Health Care Hospital,Xuzhou Medical University,Xuzhou,Jiangsu,China 221000)

机构地区：[1]南京医科大学附属苏州医院·江苏省苏州市立医院,江苏苏州215002 [2]江苏省徐州市妇幼保健院·徐州医科大学附属徐州妇幼保健院,江苏徐州221000

出　　处：《中国药业》2023年第7期114-117,共4页China Pharmaceuticals

基　　金：江苏省药学会—恒瑞医院药学基金项目[H202121]。

摘　　要：目的 分析某院妇产专业临床药师参与药学会诊的现状及特点,为妇产专业临床药师改进和完善药学服务工作提供参考。方法 通过南京医科大学附属苏州医院电子病历系统收集2021年1月至12月妇产专业临床药师参与的药学会诊记录,摘录典型案例,分析妇产专业临床药师会诊的重点和难点,总结会诊经验和教训。结果 共收集70例次药学会诊记录,涉及53例患者。会诊类型以临床单独邀请临床药师会诊为主(45例次,64.29%);会诊目的以抗感染为主(59例次,84.29%),其中妊娠期相关感染会诊27例次(45.76%);临床医师完全采纳会诊意见63例次(90.00%),其中转归痊愈或好转55例次(87.30%)。结论 妇产专业临床药师参与临床会诊取得了一定成效,其中抗感染方案的设计和调整是妇产专业临床药师深入开展药学服务的切入点;需关注肾功能亢进等妊娠期特殊的病理生理状态,实现个体化给药,提升妇产专业临床药师的价值。Objective To analyze the current status and characteristics of the participation of clinical pharmacists in the gynecology and obstetrics in the pharmaceutical consultation of a hospital,and to provide a reference for clinical pharmacists in the gynecology and obstetrics to improve the pharmaceutical care.Methods The records of pharmaceutical consultation participated by clinical pharmacists in the gynecology and obstetrics in the electronic medical record system of Affiliated Suzhou Hospital,Nanjing Medical University from January to December 2021 were collected,the typical cases were extracted,the key points and difficulties of clinical pharmacists in the gynecology and obstetrics participating in pharmaceutical consultation were analyzed,and the consultation experience and lessons were summarized.Results The pharmaceutical consultation records of 70 cases were collected,involving 53 patients.The main type of consultation was that clinic invited clinical pharmacists for consultation alone(45 cases,64.29%).The main purpose of the consultation was anti-infection(59 cases,84.29%),and the consultations of 27 cases(45.76%)were for pregnancy-associated infections.The consultation opinions of 63 cases(90.00%)were fully adopted by the clinical physicians,among these cases,there were 55 cases(87.30%)recovered or improved.Conclusion The clinical pharmacists in the gynecology and obstetrics have achieved certain results in participating in clinical consultation.The design and adjustment of anti-infection scheme is the key point for clinical pharmacists in the gynecology and obstetrics to carry out pharmaceutical care in depth.They should pay attention to the special pathophysiological conditions of pregnancy such as augmented renal clearance(ARC)to realize the individualized administration and improve their value.

关 键 词：药学会诊 妇产专业 临床药师 抗感染 

分 类 号：R95[医药卫生—药学] R984