临床药师参与91例临床会诊情况分析

Analysis of Clinical Pharmacists Participating in 91 Cases of Clinical Consultation

目的:评价临床药师参与临床会诊的效果,为临床药师更好地开展临床药学服务提供依据。方法:对2012年临床药师参与临床会诊的91例会诊情况进行统计分析。结果:在91例病例中,会诊目的为制订个体化抗感染治疗方案的有35例(38.5%),为疗效欠佳或病情反复的患者调整用药方案的有34例(37.4%);会诊意见全部被临床采纳的有78例(85.7%),部分被采纳的有2例(2.2%);采纳后痊愈49例(61.3%),好转18例(22.5%),效果不明显9例(11.3%)。结论:通过临床药师参与会诊,优化了临床药物治疗方案,提高了药物治疗水平,保障了医疗质量安全。临床药师应以临床药学会诊为突破点,不断学习临床和药学知识,进一步拓展临床药学服务。

OBJECTIVE： To evaluate the effects of clinical pharmacists participating in clinical consultation, and to provide reference for clinical pharmacists to develop clinical pharmaceutical care. METHODS： Clinical pharmacists who participated in 91 cases of clinical consultation in 2012 were analyzed statistically. RESULTS： Among 91 cases, consultation aimed to develop individu- al anti-infection treatment in 35 cases （38.5%） and adjust regimen due to poor curative effect or repeated illness in 34 cases （37.4%）. The consultation suggestions all adopted by physicians in 78 cases （85.7%）, partly adopted in 2 cases （2.2%）. 49 cases were healed （61.3%）, 18 cases got better （22.5%）, and therapeutic effect was not obvious in 9 cases （11.3%） after adopting con- sultation suggestions. CONCLUSIONS： The participation of clinical pharmacists in consultation optimizes clinical drug treatment, improve the level of drug treatment, and ensure the safety of medical quality. Taking clinical pharmacy consultation as the breakthrough point, clinical pharmacists should constantly learn clinical and pharmaceutical knowledge and further expand clinical pharmaceutical care.