257例儿童药物咨询回顾性分析

Retrospective Analysis of 257 Cases of Children's Medication Consultation

目的了解我省儿童医院药物咨询工作情况，提高药物咨询服务的质量。方法收集本院2010年1月～2012年12月257例儿科相关药物咨询记录，对咨询者身份、咨询药物类别及咨询内容进行回顾性分析。结果咨询者以患儿家属为主（91．83％），其次为医生、护士、药师和其他医务人员；咨询药物以抗感染药物最多（19．23％），其次为临床各科专用药物和消化系统用药；咨询内容以药品用法用量为主（48．16％），其次为药品不良反应和用药注意事项（14．72％）、药品适应证（11．37％）、药物相互作用和配伍禁忌（8．03％）。结论药物咨询是儿科药学服务的重要内容，是提高儿童用药安全性和合理性的重要途径；提高药物咨询服务水平，有利于提高儿童用药依从性，保证用药安全有效。

Objective To review the children＇s medicine consultation work for further promotion of drug consultation service and improvementof the quality of pharmaceutical care for children in our hospital. Methods The records of medicine consultation service were collected during January, 2010 to December, 2012 and the the inquisitor＇s identity, the classification of drugs and advisory content were retrospectively analysed. Results The identifies of inquisitors were mainly children＇s parents. The others were medical staff and pharmacist/medical technologists. Antibiotic agents are the most frequently counseled and secondly the clinical common drugs and digestive agents. The contents of consultation are mainly about usage and dosage of drugs（48.16%）, then the adverse reactions and cautions（14.72%）, indications（11.37%）, drug interaction and incompatibility（8.03%）. Conclusion Medication consultation plays an important role in the pediatric pharmaceutical service. This work could be an important way to improve the safety and rationality of children＇s drug use, and can increase the drug use compliance and ensure safety and effectiveness of pediatric medication.