论文部分内容阅读
目的验证临床药师对外科预防使用抗菌药物进行干预的效果。方法以临床药师督查记录数据为基础,将2010年1～3月238份病历设为非干预组,2010年10～12月240份病历设为干预组,建立评价标准,进行回顾性汇总、分析。结果通过干预,抗菌药物使用率从干预前的100%下降为77.08%(χ2=63.633,P=0.000),抗菌药物联用情况减少(χ2=53.712,P=0.000),用药时机和用药疗程有了较大改善,抗菌药物费用下降(t=-5.235,P=0.000),住院医疗费用降低(t’=-12.280,P=0.000),住院天数减少(t=-5.071,P=0.000)。结论临床药师通过实施合理用药干预对促进医院安全、有效、经济使用抗菌药物起到了积极作用。
Objective To verify the effectiveness of clinical pharmacists in preventing the use of antimicrobials in surgery. Methods On the basis of clinical pharmacist ’s records, 238 medical records from January to March in 2010 were set as non - intervention group and 240 medical records from October to December in 2010 as intervention group. The evaluation criteria were established and retrospectively summarized. analysis. Results The intervention rate of antimicrobial agents decreased from 100% before intervention to 77.08% (χ2 = 63.633, P = 0.000), and the combination of antibacterials decreased (χ2 = 53.712, P = 0.000) (T = -5.235, P = 0.000), hospitalization costs decreased (t ’= - 12.280, P = 0.000), hospital stay decreased (t = -5.071, P = 0.000). Conclusion Clinical pharmacists have played a positive role in promoting the safe, effective and economical use of antimicrobial agents in hospitals through the rational use of drugs.