临床药师参与75例妇产科感染病例会诊的药学实践-中国现代应用药学.pdfVIP

临床药师参与 75 例妇产科感染病例会诊的药学实践 李云送，万隽，林万龙，陈瑶*(厦门市妇幼保健院药学部，福建 厦门 361003) 摘要：目的 总结临床药师参与妇产科会诊案例的实践与体会，归纳会诊思路，提高会诊技能和有效率。方法 回顾性 分析 2011—2016 年某院临床药师参与妇产科会诊 75 个案例，对采纳情况，临床效果进行统计分析并进行循证思路整理。 结果 会诊意见被完全采纳为 63 例，占 84%；部分采纳为 11 例，占 14.67%；未采纳为 1 例，占 1.33%；会诊后治疗预 后为好转、痊愈出院的为 65 例，占 86.67%；疗效不明显或恶化的 6 例，占 8%，自动出院4 例，占 5.33%。结论 有效 的临床药师会诊，不仅需要药学专业技能，还需结合特殊个体、病理、生理状态等不断总结循证思维，拓宽临床思路， 才能制定出符合孕产妇特殊人群的最佳治疗策略。 关键词：临床药师；妇产科；会诊 中图分类号：R969.3 文献标志码：B 文章编号：1007-7693(2017)08-1188-05 DOI: 10.13748/ki.issn1007-7693.2017.08.026 引用本文：李云送, 万隽, 林万龙, 等. 临床药师参与 75 例妇产科感染病例会诊的药学实践[J]. 中国现代应用药学, 2017, 34(8): 1188-1192.  Pharmaceutical Practice of Clinical Pharmacists Consultation in 75 Infection Cases of Gynecology and Obstetrics * LI Yunsong, WAN Jun, LIN Wanlong, CHEN Yao (Department of Pharmacy, Xiamen Maternity and Child Health Care Hospital, Xiamen 361003, China) ABSTRACT: OBJECTIVE To improve consultation skill and clinical efficiency by analyzing the practice and experience of clinical pharmacists participating in gynecology and obstetrics consultation. METHODS The 75 cases of clinical pharmacists consultations in gynecology and obstetrics from 2011 to 2016 were analyzed retrospectively. The acceptance level of consultative suggestions and clinical outcomes were analyzed and evaluated, and summarized on the basis of the evidence-base medicine principle. RESULTS From the 75 cases of consultation, 63 cases of consultation suggestion from clinical pharmacists were accepted completely (84%), and 11 cases accepted partially(14.67%), though 1 case refused(1.33%). Sixty five cases (86.67%) were improved or recovered completely, 6 cases (8%) had no improvement or e