CAJ | 학술논문

目的：了解临床药师参与会诊的实际情况和结果，为临床药师更好地参与临床药物治疗实践和临床药师职业发展提供参考，提升临床合理用药水平。方法：对2013年1月-2014年8月临床药师参与会诊的72例抗菌治疗会诊资料进行统计分析。结果：会诊原因有两种：制定抗感染治疗预案12例（16.7%）；要求调整原治疗方案60例（83.3%）。会诊建议被临床全部采纳者65例（90.3%），部分采纳者5例（6.9%），未采纳者2例（2.8%）。意见采纳后治疗：痊愈56例（80%），好转11例（15.7%），效果不明显2例（2.9%），死亡或放弃治疗1例（1.4%）。结论：临床药师会诊已成为临床治疗的重要环节，尤其对抗菌药物的合理应用起到很大的作用；临床药师应积极参与会诊，强化临床药学思维，积累经验，拓展会诊范围，提高会诊质量，促进合理用药。
목적：료해림상약사삼여회진적실제정황화결과，위림상약사경호지삼여림상약물치료실천화림상약사직업발전제공삼고，제승림상합리용약수평。방법：대2013년1월-2014년8월림상약사삼여회진적72례항균치료회진자료진행통계분석。결과：회진원인유량충：제정항감염치료예안12례（16.7%）；요구조정원치료방안60례（83.3%）。회진건의피림상전부채납자65례（90.3%），부분채납자5례（6.9%），미채납자2례（2.8%）。의견채납후치료：전유56례（80%），호전11례（15.7%），효과불명현2례（2.9%），사망혹방기치료1례（1.4%）。결론：림상약사회진이성위림상치료적중요배절，우기대항균약물적합리응용기도흔대적작용；림상약사응적겁삼여회진，강화림상약학사유，적루경험，탁전회진범위，제고회진질량，촉진합리용약。
Objective: To understand the actual situation and results of clinical pharmacist ’ s participating in consultations so as to provide a reference for the better practice by clinical pharmacists in clinical drug treatment and their occupation development , and to improve the level of rational drug application . Methods: From January 2013 to August 2014 clinical pharmacists participated in the consultations of 72 cases of anti-infection treatment and the consultation data was analyzed statistically . Results:The purpose of consultation was to make preplans for the anti-infection treatment of 12 cases (16.7%) and to adjust the original treatment for 60 cases (83.3%).About 90.3%of consultation suggestions were totally accepted , 6 . 9% were partially taken and 2 . 8% were not adopted . As the results , 56 cases were cured ( 80%) , the conditions of 11 cases improved ( 15 . 7%) , 2 cases ( 2 . 9%) without ob-vious improvement , and 1 case ( 1 . 4%) died or giving up treatment . Conclusion:Clinical pharmacist participating in consultation has already become an important part of clinical therapy , which has played a great role in rational use of antibacterials particularly . Pharmacist should participate actively in consultation , get used to intensive considera-tion of clinical pharmacy , accumulate experiences , expand the scope of consultation and improve the consultation quality so as to promote rational drug use .