药师干预促进临床安全合理用药工作初探

目的评估药师深入临床,参与临床用药讨论,促进合理用药,提高医疗质量的效果。方法将药师干预用药的病例与非干预用药的病例分为2组,各55例病人,按病人的住院时间、总费用、总药费,及使用抗菌药物的费用、品种、天数逐项统计于Excel表格中,用SPSS13.0统计软件对2组数据进行t检验,比较、分析二者的差异,以此验证药师参与临床用药后发挥的作用。结果药师非干预组与干预组的住院时间无显著性差异（P〉0.05）;总费用、总药费、抗菌药物的费用、抗菌药物的使用时间都有显著性降低（P〈0.01）。结论药师参与临床用药,对促进安全合理用药、降低医疗费用,对解决当前看病贵等问题有极为重要的作用。但药师参与临床用药的工作制度有待完善,尤其需要立法来保证药师为病人服务的权力与义务。

Study of the Safe and Rational Use of Drugs in Medical Practice Under Pharmacists' Concern

Objective To value the promoting effect on the rational use of drugs and quality of medical practice by clinical pharmacists（CPs）＇ work-going around the wards and joining in the clinical conference.Methods The two groups were chosen： 55 patients without CPs＇ concern randomised as group A,and 55 patients under CPs＇ concern randomised as group B.The days in hospital,total cost,the cost of all drugs,the cost of antibacterials,the days of antibacterial administration,the sorts of antibacterials used of the two groups were counted by the records as charged,which were statistically analysed by t test with SPSS 13.0.So CPs＇ value was proved.Results Between group A and group B,the days in hospital had no statistical difference（P0.05）;the total fees,the cost of all drugs,the cost of antibacterials,the days of antibacterial administration significantly lowered（P0.01）.Conclusion The work of CPs in medical practice can promote the rational and safe use of drugs,and can reduce medical cost,and plays an important role on solving the health matters,such as,high medical cost.Laws are needed to support CPs＇ work.