【摘要】 目的:探讨临床药师参与临床会诊的效果。方法:回顾性分析深圳市龙岗区妇幼保健院临床药学室262例会诊记录,探讨临床药师参与临床会诊的效果。结果:262例会诊病例中,55.73%要求设计抗感染治疗方案,27.49%要求推荐治疗替代药物,8.40%要求了解药物配伍禁忌。科室常规会诊占67.18%,全院大型病例讨论占25.95%,科室急诊会诊占6.87%。全院要求会诊的科室中产科最多,占35.11%,妇科28.24%,外科18.32%,儿科8.40%,其他科室9.92%。临床医师对会诊用药建议全部采纳占85.50%,部分采纳14.50%。会诊后采取新的用药方案治疗的患者有19.08%痊愈,77.10%好转,3.82%死亡。结论:临床药师参与临床会诊,和临床医师共同制定用药方案,可弥补专科医师专业知识的缺陷,对提高临床治疗效果有重要意义。更多还原

【Abstract】 Objective: To research clinical effects of pharmacist participating in clinical consultations.Methods: Retrospectively analyze 262 cases of clinical consultation record in the Maternal and Child Health Hospital of Longgang,and research effects of clinical pharmacist consultation.Results: Rate of pharmacists required to take part in designed antimicrobial therapy program in 262 cases was 55.73%.Rate of pharmacists asked to recommend alternative drug treatment was 27.49%.Rate of clinical faculty requiring understanding drug incompatibility was 8.4%.Office routine consultations accounted for 67.18%,all departments of hospital consultations accounted for 25.95%,and emergency consultations accounted for 6.87%.The rates of each department requiring consultations were maternity department 35.11%,gynecology department 28.24%,surgical 18.32%,pediatrics 8.4%,and other departments 9.92%.The 85.5% consultation recommendations were adopted thoroughly,and 14.5% were adopted partially.After clinical pharmacist consultations,19.08% cases were healed,77.1% were improved,and 3.82% died.Conclusions: Clinical pharmacists participating in clinical consultations and clinical regimens with clinical doctors and patient together,can compensate for the limitations of specialist expertise,and improve patient treatment effects significantly.更多还原