维吾尔族AECOPD住院患者用药分析及药学监护思考

Analysis of drug use and pharmaceutical care ideas in uygur AECOPD inpatients

目的探讨临床药师对维吾尔族AECOPD患者提供药学监护的必要性。方法临床药师采集临床数据,分析喀什地区111名维吾尔族AECOPD住院患者抗菌药物应用指征和长效吸入剂使用情况。结果91例(82%)患者使用抗菌药物,其中降钙素原<0.1 ng/ml的86人中有66人使用抗菌药物(76.74%);53例(47.7%)未长期使用吸入剂。结论少数患者无指征使用抗菌药物;临床药师需要通过了解患者症状、体征、实验室检查判断使用抗菌药物指征;药师需要通过AECOPD患者教育、评估病情、会诊、管理、随访,有重点地做好分层药学监护。

Objective To explore the necessity of providing pharmaceutical care for uygur AECOPD patients by clinical pharmacists.Methods Clinical pharmacists collected clinical data.Clinical pharmacists analyzed the application indications of antibiotics in 111 uygur AECOPD inpatients in kashgar,and the use of long-acting inhalants.Results Of the 111 patients,91 cases(82%)were treated with antibiotics.Of the 86 patients with procalcitonin<0.1 ng/ml,66 cases(76.74%)were treated with antibiotics.Of the 111 patients,53 cases(47.7%)did not use inhalants for long periods.Conclusions A small number of patients were given antibiotics without indications.Clinical pharmacists need to know the symptoms,signs,and laboratory tests of the patients to judge the indications of antibioticsusage.Pharmacists need to conduct stratified pharmaceutical care through providing medication education to AECOPD patients,assessment,consultation,management,and follow-up.