世界中医药

作者	单位
李昌1，常冰2，王广伟1，杨龙飞1，郑霄1	1 河北省石家庄市中医院药剂科，石家庄，050051； 2 河北省石家庄市中医院心三科高血压病科，石家庄，050051

摘要点击次数: 1008

全文下载次数: 1084

中文摘要:

目的：探讨临床药师对清开灵注射液合理应用进行干预的效果研究。方法：选取2015年3月至2016年3月在石家庄市中医院进行住院治疗并使用清开灵注射液的患者348例，按随机数字表法分为对照组和观察组，每组174例。对照组患者予以常规清开灵注射液治疗，观察组患者在对照组基础上予以药师干预，观察2组患者清开灵注射液不合理使用情况、不良反应发生率、人均费用、占总住院费用的比例。结果：对照组清开灵注射液不合理使用率为25.29%，观察组不合理使用率为5.17%，观察组的不合理使用率明显低于对照组，2组比较，差异有统计学意义（P<0.05）；对照组不良反应发生率为4.60%，经过临床药师干预后，不良反应发生率降至0.57%，2组比较，差异有统计学意义（P<0.05）；对照组住院总费用为（9 704.8±342.8）元，观察组住院总费用为（8 623.9±298.5）元；对照组清开灵注射液总费用为（543.5±97.5）元，观察组清开灵注射液总费用为（432.2±95.8）元，2组比较差异有统计学意义（P<0.05）。结论：通过药师干预可以使临床中药注射剂的使用合理、规范和安全，在一定程度上减轻了患者的经济负担，避免医疗资源的浪费，降低不良反应的发生率及不合理使用率，表明药师干预在中药注射剂的合理使用过程中发挥着重要作用。

English Summary:

To evaluate the effect of clinical pharmacists in the intervention of rational use of traditional Chinese medicine (TCM) injection.Methods:According to random number table method, 348 cases of patients were treated with traditional Chinese medicine from March 2015 to March 2016 in our hospital, and they were divided into observational group and control group, each group of 174 cases.The control group was treated with regular Qingkailing injection treatment and the observational group was treated with the clinical pharmacists intervention on the rational use of Qingkailing injection.The unreasonable usage, incidence of adverse reactions, cost per capita, the proportion of the total cost of hospitalization were statistically analyzed in the two groups.Results:The rate of Qingkailing injections unreasonable usage was 25.29% in the control group, and the rate of unreasonable usage was 5.17% in the observational group.The rate of unreasonable usage of the observational group were lower than the control group, and there was statistically different between the two groups (P<0.05); the rate of adverse reactions was 4.60% in the control group, and the rate of adverse reactions was 0.57% in the observational group.There was statistically different between the two groups (P<0.05).The hospital total cost of control group was 9704.8±342.8, and the observational group was 8623.9±298.5.The total cost of Qingkailing injection of control group was 543.5±97.5, and the observational group was 432.2±95.8.There were statistically significant of two groups (P<0.05).Conclusion:The pharmacists intervention can make clinical Chinese medicine injection reasonable, normative, safety.To a certain extent, it can reduce the economic burden of patients, avoid the waste of medical resources, and reduce the rate of adverse reaction incidence and unreasonable utilization.It is obvious that pharmacists intervention plays an important role during the process of the rational use of traditional Chinese medicine injection.

查看全文查看/发表评论下载PDF阅读器