临床药师对住院病历不合理用药的回顾性分析

Retrospective analysis of irrational drug use by clinical pharmacist in in-patient case history

目的通过对病历医嘱用药情况进行分析,促进临床医生合理用药。方法随机抽取2013年1月-2014年6月有效住院病历667份,采用回顾性分析方法 ,结合患者病情和用药情况对抽查病历中的医嘱用药进行综合审查、分析。结果存在不合理用药医嘱104份,占总抽查病历的15.6%,主要问题集中在有禁忌证、用药不适宜、药物联用、抗生素使用等。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。

Objective To promote the clinical doctor to use drug rationally by analyzing conditions of drug use of medical advice in case history. Methods A total of 667 effective medical records from January 2013 to June 2014 were randomly sampled. Adopting retrospective analysis, and combining with patient＇s conditions and medications, a comprehensive review and analysis of prescribed medications in selected medical advice was taken. Results 104 irrational drug use case histories were founded, accounting for 15.6% of the total random inspection. The main problems were focused on contraindications, irrational drug use, drug combination, antibiotic use, etc. 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. Make joint efforts to reduce adverse drug reactions and ensure that the drug is safe and effective.