心胸外科605例出院患者用药情况分析.pdfVIP

心胸外科605例出院患者用药情况分析 1* 2 潘 洁 ，王晶慧（1.湖北省医药学院附属襄阳医院/ 襄阳市第一人民医院药学部，湖北襄阳 441000；2.湖北医 药学院药学院2013级，湖北十堰 442000） 中图分类号 R969.3 文献标志码 A 文章编号 1672－2124（2014）07－0621－04 摘 要 目的：综合评估某“三甲”医院心胸外科出院患者的用药情况，分析其中存在的问题。方法：采用回顾性方法，将该院 2013年1—6月心胸外科605例出院患者的病历分为手术组和非手术组，依据《处方管理办法》《医院处方点评管理规范（试行）》 《抗菌药物临床应用指导原则》等相关法律法规和治疗指南，对患者的用药进行评价，对不合理用药情况进行分析。结果：用药医 嘱存在少数不合理用药情况，主要表现为适应证不适宜和超说明书用药等。结论：该院用药情况基本合理，手术组用药较规范。 临床医师还需加强用药知识的学习，临床药师也应更多地参与患者用药方案的制订，共同提高个体化用药水平。 关键词 心胸外科；出院患者；用药分析；合理用药 Analysis of Drug Use in 605Patients Discharged from Cardiothoracic Surgery Department 1* 2 PAN Jie ，WANG Jing-hui （1. Dept. of Pharmacy ，Xiangyang Municipal First People ’s Hospital/Hubei Medical Pharmaceutical College Affiliated Xiangyang Hospital ，Hubei Xiangyang 441000，China ；2. Grade 2013 of College of Pharmacy ，Hubei Medical Pharmaceutical College ，Hubei Shiyan 442000，China ） ABSTRACT OBJECTIVE ：To evaluate the drug use in the discharged patients undergoing cardiothoracic surgery in a three-A hospital and analyze the existing problems. METHODS ：In this retrospective study ，the medical records of 605patients in cardiothoracic surgery department and discharged from this hospital during Jan. －Jun. of 2013 were assigned to surgery group and non-surgery group ，with drug use and the non-rational use of drugs analyzed in accordance with PrescriptionManagementMethod，HospitalPrescriptionReview ManagementPractices （Trial），GuidingPrinciplesforClinicalUseofAntibiotics and other related laws and regulations and treatment guidelines. RESULTS ：Non-rational use of drugs was noted in a few cases ，which manifested as inappropriate indications and off-label use. CONCLUSIONS ：The drug use in this hospital was rational on the whole ，and the drug use in the surgical group was standard. However ，clinicians should strengthen their learning on medication knowled