摘要
目的评价临床药师对指导骨科临床抗菌药物使用的作用。方法2008年6月89例骨折住院患者按药师是否参与用药决策分为2组,药师参与指导用药组(A组)45例,医生经验用药组(B组)44例。根据设计的调查表,按统一方法、标准和内容,对药师参与指导临床使用抗菌药物的情况进行统计分析。结果2组患者均使用抗菌药物。A组患者使用单一、2联、3联及以上抗菌药物者分别占81.40%、16.28%、2.30%,B组分别占43.48%、47.83%、8.69%,2组比较差异有统计学意义(P均<0.01)。人均住院费用、人均药费、人均抗菌药费A组均低于B组。对DDD、DDDs及DUI值分析显示,A组用药更合理,无滥用抗菌药物情况。结论临床药师参与指导用药的抗菌药物使用成本明显降低,临床用药更合理。应重视临床药学工作,充分发挥临床药师在抗菌药物使用中的决策、督导、宣传和教育作用,达到合理应用抗菌药物的目的。
Objective To evaluate the effect of the medication guide of clinical pharmacists. Methods According to with or without clinical pharmacists＇ participation, 89 patients underwent orthopedic operation in hospital were invided into pharmacists＇ participation group （group A,45 cases） and not pharmacists＇ participation group （group B, 44 cases）. Cost, total amount and DDD, DDDs, DUI of antibacterial drugs were analyzed by statistical methods in two groups. Results All patients in two groups used antibacterial drugs. With only one kind of antibacterial drugs, patients in group A were more than those of group B （ 81.40% vs 43.48%, P 〈 0. 01 ） ; with two or three kinds of antibacteri- al drugs,patients in group A were less than those in group B （16.28%, 2. 30% vs 47.83%, 8.69%, all P 〈0. 01 ）. Person-averaged cost of hospitalization, Person-averaged drug cost, Person-averaged cost of antibacterial drugs in group A were lower than group B. Values of DDD, DDDs and DUI showed that the use of antibacterial drug in group A was more reasonable than that in group B. Conclusions In the circumstance of clinical pharmacists＇ participation, cost of antibacterial drug decrease obviously, and the clinical medication is more rational. The effect of decision and supervise of clinical pharmacists in the use of antibacterial drugs were brought into full play.
出处
《中国厂矿医学》
2009年第3期272-273,共2页
Chinese Medicine of Factory and Mine
关键词
抗菌药物
骨科
临床药师
合理用药
Antibacterial drugs
Orthopedics
Clinical pharmacists
Rational application of drugs
