我院心血管内科不合理用药情况分析

Analysis of Non-irrational Drug Use in the Department of Cardiovascular Diseases

目的：促进临床合理用药。方法：对我院心血管内科2007年11月～2008年8月住院患者不合理用药情况进行统计、分析。结果：调查住院患者194例，共调查1745例／次；抗菌药物不合理应用118例，占被调查患者的60．82％，占被调查患者例／次的6．76％；围术期不合理应用抗菌药物26例，占被调查患者例／次的1．49％。非抗菌药物不合理应用76例，占被调查患者的39．18％，占被调查患者例／次的4．36％。自2008年2月专职临床药师入驻心血管内科后，不合理用药情况有所改善。结论：临床药师通过总结经验，可有针对性地开展药学服务，提高临床合理用药水平。

OBJECTIVE： To evaluate the irrational use of drugs in the department of cardiovascular diseases. METHODS： The irrational use of drugs in the department of cardiovascular diseases from Nov, 2007 to Aug 2008 was analyzed statistically. RESULTS： Of the total 194 inpatients （1 745 times in total） investigated, irrational use of antibiotics were found in 118 cases, accounting for 60.82 % of the total inpatients or 6.76% in the total 1 745 times; 26 cases involved irrational perioperative use of antibiotics, accounting for 1.49% of the total 1 745 times; 76 cases had irrational use of non antibiotics, accounting for 39.18% of the total inpatients or 4.36% of the total 1 745 times. The irrational drug use in the cardiovascular department witnessed an improvement ever since Feb 2008 when the full - time clinical pharmacists began their work in this department. CONCLUSION： The clinical pharmacists can enhance the clinical rational drug use level by summarizing experience and carrying out pharmaceutical care accordingly.