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目的探讨临床药师对临床不合理用药的药学干预。方法选取2013—2014年徐州市矿山医院收治的门诊或住院患者180例,其中2013年收治的患者90例作为对照组,2014年收治的患者90例作为观察组。对照组患者未实施药学干预,观察组患者实施了药学干预。观察两组患者临床不合理用药情况。结果 180例患者中临床不合理用药138例(76.67%),其中药品使用量不合理21例(11.67%);药品使用方法不合理24例(13.33%);缺少疾病专项治疗药品19例(10.56%);重复用药34例(18.89%);使用药物与患者病情不符40例(22.22%)。观察组患者药品使用量不合理、药品使用方法不合理、缺少疾病专项治疗药品、重复用药、使用药物与患者病情不符的发生率低于对照组,差异有统计学意义(P<0.05)。结论临床药师对临床不合理用药实施药学干预能有效减少临床不合理用药的发生,有利于促进临床用药合理性。
Objective To investigate the pharmacological interventions of clinical pharmacists on irrational clinical use. Methods A total of 180 outpatients or inpatients admitted to the Mining Hospital of Xuzhou from 2013 to 2014 were selected. Among them, 90 patients admitted in 2013 as the control group and 90 patients admitted in 2014 as the observation group. Patients in the control group did not receive any pharmacological interventions, and patients in the observation group received pharmacological interventions. Observed two groups of patients with clinical irrational drug use. Results Among the 180 patients, 138 cases were unreasonable (76.67%), of which 21 cases were unreasonable (11.67%), 24 cases were unreasonable (13.33%), 19 cases (10.56% %); Repeated medication in 34 cases (18.89%); the use of drugs and patients in 40 cases (22.22%). The observation group patients with unreasonable use of drugs, the use of drugs unreasonable, the lack of special treatment of disease drugs, repeated medication, the use of drugs and patients with the incidence of illness is lower than the control group, the difference was statistically significant (P <0.05). Conclusion Clinical pharmacists can effectively reduce the incidence of clinical irrational drug use in clinical irrational drug use and promote the rational use of clinical drug.