某院ICU 226份临床药师的用药建议分析

Analysis of 226 Suggestions for Medication from Clinical Pharmacists in ICU of a Hospital

目的:分析医院ICU临床药师的用药建议内容及其被采纳情况,为提高临床药师的工作能力提供参考。方法:选取2021年1月—12月中国科学院大学深圳医院临床药师参与ICU查房和医嘱审核时提出的226份用药建议作为研究资料,采集患者的一般资料、临床药师所提建议内容及所涉药物类别,分析用药建议的合理性。结果:226份用药建议涉及患者226例(男156例,女70例),其中以46~65岁人群居多(90例,占39.82%);建议涉及的药物主要为抗菌药物(136份,占60.18%);建议的内容主要涉及治疗方案的调整(51份,占22.57%)、用法用量的调整(42份,占18.58%)和药品品种的调整(39份,占17.26%),其对应的采纳率分别为90.20%、83.33%和94.87%,而总的建议采纳率则为85.40%。结论:临床药师在ICU开展药学工作时,发现的问题主要涉及抗菌药物,而问题内容主要集中在治疗方案、用法用量和品种选择方面,这些问题建议绝大多数得到了医生的采纳,提高了临床的合理用药水平。

Objective:To analyze the suggestions for medication from clinical pharmacists and their adoption in ICU of the hospital and provide reference for improving the working competence of clinical pharmacists.Methods:226 suggestions for medication proposed by clinical pharmacists who participated in ICU ward rounds and doctor's advice review in University of Chinese Academy of Sciences Shenzhen Hospital from January to December 2021 were used as the research data,and patients'general information,suggestions made by clinical pharmacists and the type of drugs were collected,to analyze the rationality of suggestions for medication.Results:The 226 suggestions involved 226 patients(156 men,70 women),most of whom were aged 46-65 years old(90 cases,39.82%).The drugs involved in the suggestions for medication were mainly antibacterial drugs(136,60.18%);the content of the suggestions mainly involved the adjustment of treatment regimens(51,22.57%),the adjustment of usage and dosage(42,18.58%)and the adjustment of drug varieties(39,17.26%),and their corresponding adoption rates were 90.20%,83.33%and 94.87%respectively,while the overall adoption rate was 85.40%.Conclusion:When clinical pharmacists carry out pharmaceutical work in ICU,the problems they find are mainly related to antibacterial drugs,and the content of these problems is mainly related to the treatment regimens,usage and dosage,and selection of drug varieties.Most of the suggestions for these problems are adopted by physicians,which improves the rational drug use in the clinical practices.