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目的分析社区慢性阻塞性肺疾病(COPD)患者的合理用药咨询情况,为进一步开展社区COPD患者的药学服务和疾病的防治提供相关资料。方法汇总2011年7月-2014年12月来本中心合理用药咨询室的社区COPD患者咨询资料并进行分析。结果咨询药物相关内容859例次,以药理机制(26.54%)、药物不良反应(18.86%)和疗效(15.72%)多见,其中尤以抗感染类(21.42%)和糖皮质激素类(14.78%)为主要咨询药物;咨询发现药物不良反应情况15项,59例(11.80%)涉及诸多系统;咨询者健康教育参与率为74.63%,其中多以单一的影视教育形式为主(37.25%);咨询者用药说明书参阅率较低(18.54%)。结论社区COPD患者合理用药情况堪忧,影响疾病防治,进一步开展以合理用药为主导的社区药物服务势在必行。
Objective To analyze the rational use of drugs in patients with chronic obstructive pulmonary disease (COPD) in community and to provide relevant information for the further prevention and treatment of pharmacy services and diseases in community patients with COPD. Methods From July 2011 to December 2014, the consultation data of community-based COPD patients from the rational drug consultation room of the Center were collected and analyzed. Results A total of 859 drug-related items were consulted, of which pharmacological mechanisms (26.54%), adverse drug reactions (18.86%) and curative effects (15.72%) were common. Among them, antiinfectives (21.42%) and glucocorticoids %) As the main counseling drugs; 15 cases of adverse drug reactions were found in counseling and 59 systems (11.80%) were involved in many systems; the participation rate of health education of counselors was 74.63%, of which 37.25% ; Consultant medication reference rate is lower (18.54%). Conclusion The rational use of drugs in community patients with COPD is worrying, affecting the prevention and treatment of diseases. It is imperative to further develop community-based drug services led by rational drug use.