临床药师干预特殊人群不合理用药回顾性分析.docVIP

临床药师干预特殊人群不合理用药的回顾性分析 　　[摘要] 目的 促进临床特殊人群患者的合理用药。方法 回顾性分析2015年1～12月石家庄市第四医院临床药师对孕产妇、哺乳期妇女、老年患者及新生儿等特殊人群实施的药学干预，分析临床存在的不合理用药情况。结果 临床药师干预特殊人群住院医嘱共计216例次，其中医师采纳干预185例次，干预原因主要是用法用量不适宜（42.10%）、品种选择不合理（19.44%）、重复用药（19.00%）等，干预药物种类以抗生素为主（72.70%）。结论 医生应重视对药品说明书和用药指导原则的学习，临床药师为特殊人群临床合理用药提供有力的药学服务和帮助，共同努力降低用药的不良反应，保证用药安全有效。 　　[关键词] 用药干预；临床药师；回顾性分析；特殊人群；不合理用药；抗感染；抗肿瘤 　　[中图分类号] R952 [文献标识码] A [文章编号] 1673-7210（2017）03（b）-0132-04 　　Retrospective analysis of clinical pharmacist intervening irrational drug use on special groups 　　LIU Yang1 DU Jing2 LI Xiaolong3 ZHOU Miao1 WANG Yan1 　　1.Department of Pharmacy， the Fourth Hospital of Shijiazhuang， Hebei Province， Shijiazhuang 050011， China； 2.Department of Pharmacy， the Fifth Hospital of Shijiazhuang， Hebei Province， Shijiazhuang 050021， China； 3.Department of Breast Surgery， the Fourth Hospital of Shijiazhuang， Hebei Province， Shijiazhuang 050011， China 　　[Abstract] Objective To promote the rational use of drugs in special groups. Methods The drug intervention in pregnant women， lactating women， senile patients and newborns in the Fourth Hospital of Shijiazhuang from January to December 2015 were analyzed retrospectively， and the irrational drug use was analyzed. Results A total of 216 cases of special groups instructions were intervened by clinic pharmacists in 2015， among which physicians adopted 185 cases. The main reasons for intervention were mainly inappropriate dosage （42.10%）， irrational selection （19.44%） and repeated use （19.00%）. The main drug types were antibiotics（72.70%）. Conclusion Doctors should pay attention to the study of drug instructions and guidelines， clinical pharmacists should provide powerful pharmaceutical care and help for clinical rational drug use of special groups， to reduce adverse drug reaction and make sure that the drug is safe and effective. 　　[Key words] Drug intervention； Clinical pharmacist； Retrospective analysis； Special groups； Irrational drug use； Anti-infection； Antineoplastic 　　石