深圳市龙岗区妇幼保健院临床药师参与会诊的总结与体会

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.

Experiences of Pharmacist Participating in Clinical Consultations

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.