支气管哮喘住院患者的药学监护及合理用药探讨

Pharmacological monitoring and rational medication of hospitalized patients with bronchial asthma

目的:分析支气管哮喘住院患者的药学监护及合理用药。方法:抽取本院收治的支气管哮喘住院患者92例为此次研究的观察对象,病人纳入时间自2021年1月至2022年12月。根据用药干预模式不同做分组处理,分为参照组(n=46)、研究组(n=46),参照组作常规用药指导,研究组在常规用药指导基础上开展药学监护、合理用药指导。比较两组支气管哮喘住院患者的用药不良反应发生率及呼吸功能、肺功能、治疗依从性、药物知识掌握度变化。结果:研究组患者用药不良反应发生率4.35%较参照组的17.39%更低,干预后VCO_(2)、RQ、VO_(2)等呼吸功能指标较参照组更低,IC、FEV_(1)、FVC等肺功能指标值较参照组更高,治疗依从性、药物知识掌握度分值较参照组更高,P<0.05。结论:药学监护及合理用药干预用于支气管哮喘住院患者中,可减少用药不良反应,并改善其肺功能、呼吸功能,提升其治疗依从性、药物知识掌握度,效果显著。

Objective:To analyze the pharmaceutical care and rational use of drugs in hospitalized patients with bronchial asthma.Methods:92 inpat ients with bronchial asthma admitted to our hospital were selected as the subjects of this study.The patients were included from January 2021 to December 2022.According to the different medicat ion intervention modes,they were divided into two groups:the reference group(n=46)and the study group(n=46).The reference group was given rout ine medication guidance.The study group carried out pha rmaceutical monitoring and rational medication guidance on the basis of routine medication guidance.The incidence of adverse drug reactions and the changes of respiratory function,pulmonary function,treatment compliance and drug knowledge of hospitalized patients with bronchial asthma were compared between the two groups.Results:The incidence of adverse drug reactions in the study group was 4.35% lower than that in the control group(17.39%).After intervention,the respiratory funct ion indexes suchas VCO_(2),RQ,VO_(2) were lower than those in the control group.The lung function indexes such as IC,FEVI,FVC were higher than those in the control group.The scores of treatment compliance and drug knowledge mastery were higher than those in the control group(P<0.05).Conclusion:The use of pharmaceutical monitoring and rat ional drug use intervention in hospitalized patients with bronchial asthma can reduce adverse drug reactions,improve their lung function and respiratory function,and improve their treatment compliance and drug knowledge.The effect is significant.