药师对本院中成药重复使用的干预效果

Effect of Pharmacists'Intervention on Repeated Use of Chinese Patent Medicine in Our Hospital

目的:探讨药师干预对中成药重复使用的效果,促进中成药的合理使用。方法:选取我院2018年6—12月使用中成药的患者299例为对照组,2019年1—6月使用中成药的患者301例为干预组。对照组采用常规的处方点评,干预组通过完善中成药重复用药点评细则、规范培训点评中药师、加大临床监测力度和中成药合理用药宣教等药学干预手段进行点评,对比干预前后中成药重复使用率。结果:与对照组比较,干预后我院中成药重复使用率由干预前46.15%(138/299)下降至13.95%(42/301),差异有统计学意义(P<0.05);干预前本院中成药重复使用排名前10位的组合中,9组的重复使用率在药师干预后明显下降,仅参芪扶正注射液和复方黄芪益气口服液组合的重复使用率由干预前的1.34%(4/299)上升至3.99%(12/301)。结论:药师干预有效降低我院中成药的重复使用率,促进中成药的合理使用,但仍存在重复用药情况,还需干预。

Objective:To explore the effect of pharmacists'intervention on the repeated use of chinese patent medicine and promote the rational use of chinese patent medicine.Method:299 patients were selected into control group that treated with Chinese Patent Medicine from june to december 2018 while 301 patients were selected into intervention group that treated with chinese patent medicine from january to june 2019.The control group received routine prescription comments,The intervention group conducted the comments after improving the prescription comments,standardizing the training of pharmacists and strengthening the clinical supervision and propaganda of rational drug use of chinese patent medicines.And compare the repeated utilization rates of chinese patent medicine of the two gorups.Results:The repeated utilization rate decreased from 46.15%(138/299)to 13.95%(42/301)after intervention,with statistically significant difference(P<0.05).Among the top 10 combinations of repeated use of chinese patent medicine,9 groups decreased significantly after the intervention of pharmacists;The repeated utilization rate of shenqi fuzheng injection and compound huangqi yiqi oral liquid increased from 1.34%(4/299)to 3.99%(12/301).Conclusion:Pharmacists'intervention has effectively reduced the repeated use rate of chinese patent medicine and promoted the rational use of chinese patent medicine.However,it is needed to continue to intervene for reducing repetition rate.