临床药师对临床不合理用药的药学干预分析

Analysis of Clinical Pharmacists Intervention on Irrational Drug Use

目的分析临床药师对临床不合理用药的药学干预效果。方法选择2014年1月~2015年12月本院108例医嘱及患者,随机分为两组。对照组54例,采用常规干预;观察组54例,实施临床药学干预。将两组药学干预效果进行对比。结果观察组患者不良反应发生率、处方不合格率及抗菌药物使用率较对照组降低,差异有统计学意义（P〈0.05）;观察组药品费用、抗菌药费用及住院时间较对照组降低,差异有统计学意义（P〈0.05）。结论实施临床药学干预,可有效减少临床不合理用药发生,规范临床医师用药行为,缩短患者住院时间。

Objective To analyze the effect of clinical pharmacist intervention on clinical irrational drug use. Methods 108 cases were randomly divided into two groups from January 2014 to December 2015 in our hospital. Routine intervention was adopted in the control group of 54 cases,and the observation group the implementation of clinical pharmacy intervention. The effect of the two groups of pharmacy intervention were compared.Results The incidence rate of adverse reaction, the rate of unqualified prescriptions and the usage rate of antibiotics in the observation group were significantly lower than those in the control group（P 0.05）. Compared with the control group,there was a significant difference in the drug cost,the use of antibiotics and the length of stay in the observation group（P 0.05）. Conclusion The implementation of clinical pharmacy intervention can effectively reduce the clinical irrational drug use,regulate the behavior of clinicians, shorten the hospital stay.