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目的回顾性分析基层医院临床药师参与会诊的方式和效果,探讨临床药师会诊工作的具体方法。方法选取2014年4月—2014年10月灵山县人民医院临床药师会诊病例36例,收集整理住院病历资料,对相关数据进行统计分析。结果申请会诊科室主要为感染疾病科13例(36.1%);外科10例(27.8%);会诊目的主要为希望调整抗生素选择方案15例(41.7%);希望根据患者具体特点制定个体化药物治疗方案12例(33.3%);会诊意见全部采纳9例(25.0%);部分采纳27例(75.0%);痊愈29例(80.5%),好转6例(16.7%),无效1例(2.8%)。结论基层医院临床药师参与临床会诊工作可有效提高临床药师的临床实践能力及临床医师的药学相关知识水平,促进了住院患者的用药合理性,对临床科室诊疗起到了良好的协助作用。
Objective To retrospectively analyze the ways and effects of clinical pharmacists participating in consultation in primary hospitals and to discuss the specific methods of clinical pharmacists’ consultation. Methods From April 2014 to October 2014, 36 cases of clinical pharmacist consultation in Lingshan County People’s Hospital were selected. The data of inpatient medical records were collected and analyzed, and the related data were statistically analyzed. Results Thirteen cases (36.1%) were infected with the disease department, 10 (27.8%) were surgical patients, and 15 (41.7%) were expected to adjust the selection of antibiotics. The hope was to develop individualized drug therapy according to the specific characteristics of patients 12 cases (33.3%) were admitted to the hospital, 9 cases (25.0%) were interviewed, 27 cases (75.0%) were partly adopted, 29 cases (80.5%) were cured, 6 ). Conclusion The participation of clinical pharmacists in clinical consultation in primary hospitals can effectively improve the clinical practice ability of clinicians and the level of pharmacy-related knowledge of clinicians, promote the rationality of medication in inpatients, and play a good role in the assistance of clinical departments.