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目的:探讨临床药师参与临床会诊的效果。方法:回顾性分析深圳市龙岗区妇幼保健院临床药学室262例会诊记录,探讨临床药师参与临床会诊的效果。结果:262例会诊病例中,55.73%要求设计抗感染治疗方案,27.49%要求推荐治疗替代药物,8.40%要求了解药物配伍禁忌。科室常规会诊占67.18%,全院大型病例讨论占25.95%,科室急诊会诊占6.87%。全院要求会诊的科室中产科最多,占35.11%,妇科28.24%,外科18.32%,儿科8.40%,其他科室9.92%。临床医师对会诊用药建议全部采纳占85.50%,部分采纳14.50%。会诊后采取新的用药方案治疗的患者有19.08%痊愈,77.10%好转,3.82%死亡。结论:临床药师参与临床会诊,和临床医师共同制定用药方案,可弥补专科医师专业知识的缺陷,对提高临床治疗效果有重要意义。
Objective: To investigate the clinical pharmacist participation in clinical consultation results. Methods: A retrospective analysis of 262 cases of clinical pharmacy in Longgang District, MCH clinic consultation records to explore the clinical pharmacists involved in clinical consultation results. Results: Of the 262 cases, 55.73% of them requested the design of anti-infective treatment regimen, 27.49% of them recommended the treatment of alternative drugs, and 8.40% asked about incompatibility of drugs. Department routine consultation accounted for 67.18%, large hospital cases accounted for 25.95%, department emergency consultation accounted for 6.87%. The hospital required the consultation department most obstetric, accounting for 35.11%, 28.24% of gynecology, surgery 18.32%, pediatrics 8.40%, other departments 9.92%. Clinicians recommend the treatment of all consultation accounted for 85.50%, partially adopted 14.50%. 19.08% recovered, 77.10% improved and 3.82% died after taking the new drug regimen. Conclusion: Clinical pharmacists participating in clinical consultation and working with clinicians to formulate medication regimens can make up for the shortcomings of specialist expertise, which is of great significance to improve the clinical therapeutic effect.