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目的:分析临床药师在临床实践中提出的药物治疗建议,探讨临床存在的用药问题,为药学实践提供参考。方法:回顾性分析临床药师于2013年7月至2014年6月1年中为临床(急诊ICU、骨科、肝胆外科等9个科室)提供并被采纳的治疗建议,对建议数量、干预药物的类别、治疗建议的类型及具体干预内容等进行归纳整理。结果:治疗建议的数量随时间的发展呈上升趋势。干预的药物共56类,前3类药物分别是抗菌药物、营养支持药物及肝胆疾病辅助用药。治疗建议的类型共涉及“给药方案调整”、“疗程管理”等9大类,包括25个亚类型。结论:临床药师的治疗建议有助于促进临床合理用药,同时作为治疗团队的一员,可提供更好的个体化治疗方案。
OBJECTIVE: To analyze the drug treatment recommendations proposed by clinical pharmacists in clinical practice, to explore the clinical problems and to provide reference for the practice of pharmacy. Methods: Retrospective analysis of clinical pharmacists in the clinical (emergency ICU, orthopedics, hepatobiliary surgery and other nine departments) from July 2013 to June 2014 provided and adopted treatment recommendations, the number of recommendations, the drug intervention Categories, types of treatment recommendations and the content of specific interventions summarized. Results: The number of treatment recommendations has been increasing over time. A total of 56 kinds of intervention drugs, the first three categories of drugs are antibacterial drugs, nutritional support drugs and hepatobiliary disease adjuvant drug. The types of treatment recommendations involve 9 major categories, including 25 “sub-types” such as “dosage regimen adjustment” and “course management”. CONCLUSION: The clinical pharmacist treatment recommendations help to promote clinical rational use of medication and, as a member of the treatment team, provide better individualized treatment options.