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目的:分析临床不合理用药的原因,为临床合理用药提供参考。方法:通过临床药师参与临床查房,发现10例不合理用药的典型案例,利用临床药师在药效学、药动学、药物相互作用、配伍禁忌、药物不良反应等方面的专业知识,分析临床不合理用药的原因,进行必要的干预。结果:临床用药中存在抗生素不合理使用、选药不当、药物配伍禁忌、药品服用时间不适当、用药疗程过长和自带药品风险等原因,及时发现、干预临床不合理用药,所提建议均被临床医生采纳。结论:临床药师参与临床查房,及时发现和干预临床不合理用药现象,可提高临床合理用药水平,保证患者临床用药的安全、有效。
Objective: To analyze the reason of irrational use of clinical medicine and provide reference for clinical rational drug use. Methods: By clinical pharmacists involved in clinical ward round, found that 10 cases of unreasonable medication typical cases, the use of clinical pharmacists pharmacodynamics, pharmacokinetics, drug interactions, incompatibility, adverse drug reactions and other professional knowledge, analysis of clinical Irrational use of drugs, make the necessary interventions. Results: There were some problems such as unreasonable use of antibiotics, improper drug selection, incompatibility of drugs, unsuitable drug taking time, overdosage of medication and risk of bringing medicines in clinical medication. Admitted by clinicians. Conclusion: Clinical pharmacists participating in clinical ward rounds, timely detection and intervention of clinical irrational drug use, can improve the clinical reasonable level of medication to ensure that patients with clinical medication safe and effective.