临床药学服务减少中药用药不良反应的价值分析

Analysis on the Value of Clinical Pharmacy Service in Reducing Adverse Reaction of Traditional Chinese Medicine

目的分析临床药学服务减少中药用药不良反应的价值。方法纳入我院2017年1月至2018年4月90例内科慢性病患者,数字表法分组,常规的中药应用组采用常规的中药治疗,中药临床药学干预组采用中药应用+临床药学干预进行治疗。比较两组满意程度;内科慢性病患者对中药机制的认知、用药的依从性、中药不良反应认知;药学干预前后证候积分和生存质量积分;中药使用不良反应。结果中药临床药学干预组的满意度100.00%,高于常规的中药应用组的80.00%,P <0.05。药学干预前两组证候积分和生存质量积分接近,P> 0.05;干预后中药临床药学干预组证候积分和生存质量积分的改善幅度更大,P <0.05。中药临床药学干预组内科慢性病患者对中药机制的认知、用药的依从性、中药不良反应认知更好,P <0.05。中药临床药学干预组中药使用不良反应更少,P <0.05。结论内科慢性病患者实施中药应用和临床药学干预效果确切,可有效改善患者的病情,提高患者治疗的依从性,并提高其对中药的认知并有效控制病情,改善患者的预后。

Objective To analyze the value of clinical pharmacy service in reducing adverse reactions of Chinese medicine. Methods Ninety patients with chronic diseases in internal medicine from January 2017 to April 2018 were included in our hospital. They were grouped by digital table method. The conventional Chinese medicine application group was treated with conventional Chinese medicine, and the Chinese medicine clinical pharmacy intervention group was treated with Chinese medicine application + clinical pharmacy intervention. The satisfaction degree of the two groups was compared;the cognition of chronic medical patients on the mechanism of traditional Chinese medicine, the compliance of medication, the cognition of adverse reaction of traditional Chinese medicine;the score of syndrome and quality of life before and after pharmaceutical intervention;the adverse reaction of traditional Chinese medicine. Results The satisfaction of 45(100.00%) Chinese traditional medicine clinical pharmacy intervention group was higher than that of traditional Chinese medicine application group 36(80.00%) and P <0.05. The syndromes and quality of life scores of the two groups before the pharmaceutical intervention were close, P >0.05;after pharmaceutical intervention, the syndromes and quality of life of the clinical pharmaceutical intervention group improved by a greater extent, P <0.05. Patients with chronic diseases of traditional Chinese medicine clinical pharmacy intervention group had better knowledge of the mechanism of traditional Chinese medicine, compliance with medication, and adverse reactions of traditional Chinese medicine, P <0.05. Traditional Chinese medicine clinical pharmacy intervention group has less adverse reactions to the use of Chinese medicine, P<0.05. Conclusion The application of traditional Chinese medicine and clinical pharmacognosy intervention in patients with chronic medical diseases can effectively improve the patient’s condition, improve the compliance of patients with treatment, improve their cognition of traditional Chinese medicine and effectively control the condition, and improve the patient’s prognosis.