中国医药导报
中國醫藥導報
중국의약도보
CHINA MEDICAL HERALD
2015年
21期
150-152,156
,共4页
临床药师%危重患者%药学监护%药学干预
臨床藥師%危重患者%藥學鑑護%藥學榦預
림상약사%위중환자%약학감호%약학간예
Clinical pharmacists%Critical patients%Pharmaceutical care%Pharmaceutical intervention
目的：通过临床药师对危重患者进行药学监护的总结、分析，探讨临床药师在危重患者治疗过程中的作用。方法选取2012年1月~2013年4月宝鸡市人民医院各科室重症监护室入住超过24 h的100例危重患者进行登记，对患者的病情、药物的选择、治疗后的临床效果评价、患者用药教育、不良反应监测及干预措施等方面实施全程药学监护。结果心脑血管、泌尿系统药物以及抗感染药物的用药频次高，并且存在部分药物无指征用药现象。结论临床药师只有掌握了必需的医学、药学理论基础知识，在实践中建立一定的临床思维能力，强化药物应用的能力，才能提高药学服务质量，提高合理用药的水平。
目的：通過臨床藥師對危重患者進行藥學鑑護的總結、分析，探討臨床藥師在危重患者治療過程中的作用。方法選取2012年1月~2013年4月寶鷄市人民醫院各科室重癥鑑護室入住超過24 h的100例危重患者進行登記，對患者的病情、藥物的選擇、治療後的臨床效果評價、患者用藥教育、不良反應鑑測及榦預措施等方麵實施全程藥學鑑護。結果心腦血管、泌尿繫統藥物以及抗感染藥物的用藥頻次高，併且存在部分藥物無指徵用藥現象。結論臨床藥師隻有掌握瞭必需的醫學、藥學理論基礎知識，在實踐中建立一定的臨床思維能力，彊化藥物應用的能力，纔能提高藥學服務質量，提高閤理用藥的水平。
목적：통과림상약사대위중환자진행약학감호적총결、분석，탐토림상약사재위중환자치료과정중적작용。방법선취2012년1월~2013년4월보계시인민의원각과실중증감호실입주초과24 h적100례위중환자진행등기，대환자적병정、약물적선택、치료후적림상효과평개、환자용약교육、불량반응감측급간예조시등방면실시전정약학감호。결과심뇌혈관、비뇨계통약물이급항감염약물적용약빈차고，병차존재부분약물무지정용약현상。결론림상약사지유장악료필수적의학、약학이론기출지식，재실천중건립일정적림상사유능력，강화약물응용적능력，재능제고약학복무질량，제고합리용약적수평。
Objective To discuss the role of clinical pharmacists in treatment process for critical patients by the sum-mary and analysis of pharmaceutical care on critical patients. Methods From January 2012 to April 2013, in Baoji People's Hospital, 100 critical patients in each clinical Intensive Care Unit more than 24 h were registered, and they were given whole course pharmaceutical care on symptoms, selection of drugs, the clinical efficacy of evaluation after treatment, adverse reaction monitoring, education, intervention measures and so on. Results The frequencies of drugs for cardiovascular system, urinary system, anti-infection were high, and there were non-rational use of drugs appearance. Conclusion Clinical pharmacists only master the necessary theoretical knowledge of medicine and pharmacy, they will establish certain clinical thinking ability in practice, strengthen the drug application ability, which can improve the quality of pharmaceutical care and the level of rational drug use.
