目的 探討臨床藥師在支氣管哮喘住院患者的藥學(xué)監(jiān)護(hù)作用。 方法 臨床藥師在呼吸科參與具體藥物治療的1例支氣管哮喘住院患者藥學(xué)監(jiān)護(hù)過(guò)程進(jìn)行分析總結(jié)。 結(jié)果 臨床藥師通過(guò)全程的藥學(xué)監(jiān)護(hù)，及時(shí)發(fā)現(xiàn)并解決相關(guān)藥物治療問(wèn)題，為臨床提供合理建議，加強(qiáng)了患者用藥的安全性。 結(jié)論 臨床藥師實(shí)施藥學(xué)監(jiān)護(hù)對(duì)患者個(gè)體化治療具有極其重要的意義。
【摘要】 目的 驗(yàn)證臨床藥師對(duì)我院中藥注射劑合理使用進(jìn)行干預(yù)的效果?！》椒ā?duì)比分析2010年臨床藥師干預(yù)前后中藥注射劑的合理使用情況，隨機(jī)抽取2010年1-6月合格病歷1 000份，設(shè)為非干預(yù)組；隨機(jī)抽取2010年9月-2011年2月合格病歷1 000份，設(shè)為干預(yù)組；評(píng)估臨床藥師的干預(yù)作用?！〗Y(jié)果 非干預(yù)組中藥注射劑的使用率為31.10%，干預(yù)組為19.00%，差異有統(tǒng)計(jì)學(xué)意義（χ2=38.991，P=0.000）；非干預(yù)組適應(yīng)證不合理的為6.00%，干預(yù)組為2.10%，差異有統(tǒng)計(jì)學(xué)意義（χ2=19.570，P=0.000）；非干預(yù)組發(fā)生不良反應(yīng)15例，干預(yù)組發(fā)生3例，兩組不良反應(yīng)發(fā)生率差異有統(tǒng)計(jì)學(xué)意義（χ2=8.073，P=0.004）；中藥注射劑的用法用量趨于規(guī)范?！〗Y(jié)論 臨床藥師對(duì)中藥注射劑臨床使用的干預(yù)行之有效，對(duì)促進(jìn)醫(yī)院安全、有效、合理使用中藥注射劑起到了積極作用?！続bstract】 Objective To explore the effects of clinical pharmacists intervention on traditional chinese medicine injection. Methods Compared the rational usage of traditional Chinese medicine injection in 2010 after the intervention of clinical pharmacists. A total of 1 000 clinical case records from January to June 2010 were randomly selected and was named as the non-intervention group; another 1 000 clinical case records from September 2010 to February 2011 were randomly selected and was named as the intervention group. The effect of the clinical pharmacists were evaluated. Results The utilization rate of the Chinese medicine injection was 31.10% in non-intervention group and 19.00% in the intervention group with a significant difference between the two groups (χ2=38.991，P=0.000). The irrationality of indication was 6.00% in non-intervention group and 2.10 in the intervention group with a significant difference between the two groups （χ2=19.570，P=0.000）. The adverse reaction was found in 15 patients in non-intervention group and in three patients in the intervention group with a significant difference between the two groups（χ2=8.073，P=0.004）. The usage and dosage of Chinese traditional medicine injection was tend to be normative. Conclusion The intervention on traditional Chinese medicine injection by clinical pharmacists is effective, which is a important part in promoting the rational use of traditional Chinese medicine injection.
【摘要】 目的 總結(jié)分析門診藥房藥品調(diào)劑差錯(cuò)原因，提高藥品調(diào)劑工作質(zhì)量?！》椒ā?duì)2009年1月-2010年12月門診藥房出現(xiàn)的藥品調(diào)劑差錯(cuò)原因進(jìn)行歸類分析，針對(duì)各原因提出具體防范措施?！〗Y(jié)果 通過(guò)建立完善的藥品信息系統(tǒng)及強(qiáng)化相關(guān)防范措施，使藥品調(diào)劑差錯(cuò)降低到最小程度?！〗Y(jié)論 采取有效的防范措施，可減少門診藥房藥品調(diào)劑差錯(cuò)事件的發(fā)生，確保藥物發(fā)放的準(zhǔn)確性和患者用藥的安全性。
目的 分析都江堰市人民醫(yī)院藥品不良反應(yīng)（ADR）的發(fā)生情況及引發(fā)ADR的相關(guān)因素，為臨床合理用藥及正確評(píng)價(jià)ADR的發(fā)生提供參考。 方法 對(duì)醫(yī)院2009年1月－2011年12月收集上報(bào)至全國(guó)ADR監(jiān)測(cè)網(wǎng)絡(luò)的168例ADR報(bào)告，進(jìn)行回顧性分類與統(tǒng)計(jì)分析。 結(jié)果 ADR報(bào)告例數(shù)最多的為臨床科室，男女病例數(shù)比為0.87∶1，靜脈給藥途徑引發(fā)的ADR最多（占77.98%）；抗感染藥物的ADR發(fā)生率最高（占61.90%）；皮膚及其附件損害最常見(jiàn)占（27.98%）。 結(jié)論 抗感染藥物和中藥注射劑是ADR監(jiān)測(cè)的重點(diǎn)藥物，應(yīng)加強(qiáng)ADR監(jiān)測(cè)及相關(guān)知識(shí)的宣傳，提高合理用藥水平，減少藥源性疾病的發(fā)生。