紧密型帮扶驻点药师干预对Ⅰ类切口手术质子泵抑制剂应用的影响

Effect of intensive assistance resident pharmacist intervention on the ap-plication of proton pump inhibitors in Class Ⅰ incision surgery

目的研究3种Ⅰ类切口手术中,紧密型帮扶驻点药师干预质子泵抑制剂(PPIs)注射剂的应用效果。方法选取2020年1月至12月乐昌市人民医院收治的160例外科住院患者为对照组,2021年1月至12月收治的160例外科住院患者为干预组。对照组采取常规的管理方式,干预组采用紧密型帮扶驻点药师干预的管理模式。对两组PPIs用药情况及不合理用药情况进行分析。结果干预组PPIs注射液使用率为37.5%,低于对照组的77.5%,差异有统计学意义(P<0.05)。干预组的PPIs注射液不合理使用率为30.6%,低于对照组的50.0%,差异有统计学意义(P<0.05)。干预组的PPIs注射剂用药天数为(2.06±2.80)d,少于对照组的(4.78±3.38)d,差异有统计学意义(P<0.05)。结论对外科3种Ⅰ类切口手术PPIs注射剂的使用,紧密型帮扶药师通过药学干预促进PPIs注射剂合理用药取得满意效果。

Objective To study the application effect of proton pump inhibitors(PPIs)injection in three types of typeⅠincision surgery.Methods A total of 160 surgical inpatients admitted to the Lechang People's Hospital from January to December 2020 were selected as the control group,and 160 surgical inpatients admitted from January to December 2021 were selected as the intervention group.The control group adopted conventional management methods,and the intervention group adopted the management mode of close assistance and resident pharmacist intervention.The use of PPIs and the irrational use of PPIs in the two groups were analyzed.Results The utilization rate of PPIs injection in the intervention group was 37.5%,lower than that in the control group(77.5%),and the difference was statistically significant(P<0.05).The irrational utilization rate of PPIs injection in the intervention group was 30.6%,lower than that in the control group(50.0%),and the difference was statistically significant(P<0.05).The duration of PPIs injection in the intervention group was(2.06±2.80)d,which was lower than that in the control group(4.78±3.38)d,and the difference was statistically significant(P<0.05).Conclusion The use of PPIs injection in three kinds of typeⅠincision surgery can help pharmacists to intervene scientifically and promote the rational use of PPIs injection to achieve satisfactory results.