临床药师对慢性肾脏病患者开展药物重整服务

发布时间：2018-05-15 13:40

本文选题：药物重整 + 慢性肾脏病　；参考：《中国新药杂志》2017年10期

【摘要】：目的:通过对慢性肾脏病患者开展药物重整服务,探讨临床药师在药学监护中的作用。方法:临床药师直接干预2016年2—7月我院肾内科慢性肾脏病住院患者的治疗,开展药物重整服务。结果:研究期间共获得187例患者的用药情况,对其中50例患者实施药物重整服务,重整率为26.7%;药物重整服务共涉及433条医嘱,与药物重整直接相关的医嘱数为82条,其中药物用法重整、停用药物、加用药物及剂量调整的医嘱数分别为60条(73.2%)、9条(11.0%)、7条(8.5%)和6条(7.3%);居前3位的重整药物种类依次为老年病用药(24.4%)、影响血液及造血系统的药物(14.6%)和作用于心血管系统的药物(13.4%)。结论:临床药师对慢性肾脏病患者开展药物重整服务时,应重点关注慢性肾脏病用药的用法问题,协助医师保障患者用药安全有效。
[Abstract]:Objective: to explore the role of clinical pharmacists in pharmacological monitoring through drug reorganization services for patients with chronic kidney disease. Methods: clinical pharmacists directly intervened in the treatment of patients with chronic kidney disease in our hospital from February to July 2016. Results: a total of 187 patients were treated with drugs during the study period, 50 of them were treated with drug reorganization service, and the reorganization rate was 26.7.The drug reorganization service involved 433 medical orders, 82 of which were directly related to drug reorganization. In which the drug is reused and the drug is stopped, The number of additional drugs and dose-adjusted prescriptions were 60 / 73.2and 9 / 11.0and 8.5b, respectively) and 6 / 7.3s, respectively. The first three types of reforming drugs were geriatric drugs 24.40.The drugs affecting the blood and hematopoietic system were 14.6) and the drugs acting on the cardiovascular system were 13.413.40.The number of drugs in the first three places was 24.40.The number of drugs affecting the blood and hematopoietic system was 14.6) and that of the drugs acting on the cardiovascular system was 13.413.40.2. Conclusion: clinical pharmacists should pay more attention to the use of drugs in patients with chronic kidney disease, and assist doctors to ensure the safety and effectiveness of drug use in patients with chronic kidney disease.
【作者单位】：中国药科大学基础医学与临床药学学院;北京大学第一医院药剂科;
【分类号】：R692

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