关于开设“妊娠期用药风险评估与沟通药师门诊”的思考

摘 要 目的： 通过对妊娠期用药的现状及妊娠期用药风险原因的分析，探讨开展“妊娠期用药风险评估与沟通药师门诊”的必要性。方法: 参考美国食品和药品监督管理局（FDA）制定的药物妊娠危险性等级分类，综合研究孕妇服用药物剂量、用药时间、遗传因素、孕期保健和潜在疾病等多方面因素，最终建立“妊娠期用药风险评估与沟通药师门诊”。结果:通过医院信息系统对门诊数据进行回顾，发现孕妇就诊量逐渐增多。临床药师针对产科患者提供的药学服务模式，深受临床医师和患者的肯定。结论: 建议医院可设立妊娠期用药风险评估与沟通药师门诊，提高孕妇用药知识水平，促进临床安全用药。

Reflection on Opening of Section for Outpatients for Risk Assessment and Communication of Medication Use in Pregnancy by Pharmacists

ABSTRACT Objective: To discuss the necessity of the opening of a pharmacist section for outpatients for risk assessment and communication of drugs in pregnancy by surveying the use situation and risk reasons of the drugs was in pregnancy. Methods: Referring to the risk classification of medicines in pregnancy formulated by FDA and integrating various factors in pregnant women, such as drug dosage, administration time, genetic factors, prenatal care and potential diseases et al, pharmacists established the section for outpatients for risk assessment and communication of drugs in pregnancy. Results:The visiting number of pregnant women was gradually increased after the establishment by reviewing the clinical data from the hospital information system. The new pharmacy service mode provided by pharmacists for obstetrical patients was positively recognized by physicians and patients. Conclusion:The section for outpatients for risk assessment and communication of drugs in pregnancy should be established in order to promote the pharmaceutical knowledge in pregnancy and improve the medication safety.