DRGs下多中心临床药师参与股骨骨折手术患者术后用药管理方案的比较研究

Comparative study of multi-center clinical pharmacists'participation in postoperative medication management of patients with femoral fracture surgery under DRGs

目的 分析疾病诊断相关分组(DRGs)下,多中心临床药师参与股骨骨折手术患者术后用药管理的效果。方法 研究以常州市第一人民医院、常州市第二人民医院、常州市中医医院2021年1月~6月期间收治的股骨骨折患者201例为对照组,以2022年1月~6月期间收治的股骨骨折患者212例为观察组。对照组采用常规用药管理(化学药品管理),后以对照组的用药信息为基础构建药事循证,每2个月更新一次。观察组采用基于DRGs的多中心临床药师参与的用药管理标准。比较两组的用药信息。结果 观察组的镇痛药物平均使用种类少于对照组,平均用药时间短于对照组,平均用药费用低于对照组,且DRGs标准用药占比高于对照组,差异有统计学意义(P<0.05)。观察组的抗菌药物平均使用种类、用药总用量少于对照组,平均用药时间短于对照组,用药频度(DDDs)、平均用药费用低于对照组,差异有统计学意义(P <0.05)。结论 DRGs下多中心临床药师参与股骨骨折手术患者的术后用药管理,可以降低患者的治疗费用,并促进用药标准化。

Objective To analyze the application effect of multi-center clinical pharmacists participating in postoperative medication management of patients with femoral fracture surgery under Diagnosis Related Groups(DRGs).Methods A total of 201 patients with femoral fractures admitted to the First People's Hospital of Changzhou,the Second People's Hospital of Changzhou and Changzhou Hospital of Traditional Chinese Medicine from January 2021 to June 2021 were selected as the control group,and 212 patients with femoral fractures admitted to the hospitals from January 2022 to June 2022 were selected as the observation group.The patients in the control group received routine medication management(chemical drug management),and evidence-based pharmacy was constructed based on the medication information of the control group,which was updated every two months.The observation group applied the latest medication management standards based on the participation of multi center clinical pharmacists under DRGs The medication information of the two groups was compared.Results The average number of types of analgesic drugs used in the observation group was less than that of the control group,the average medication time was shorter than that of the control group,the average medication cost was lower than that of the control group,and the proportion of DRGs standard medication was higher than that of the control group,with statistical significances(P<0.05).The average number of types and total dosage of antibacterial drugs used in the observation group were less than those of the control group,the average medication time was shorter than that of the control group,the average medication cost and DDDs were lower than those of the control group,with statistical significances(P<0.05).Conclusion The participation of multi-center clinical pharmacists in the postoperative medication management of patients undergoing femoral fracture surgery under DRGs may reduce the treatment cost and promote the standardization of medication use.