摘要
目的探讨活血类中药注射剂合理用药的主要因素及临床药师干预处方行为对合理用药的影响。方法通过回顾性分析门诊处方、住院病历的活血类中药注射剂使用情况,对不合理指标进行临床干预,并分为干预前、1次干预后、2次干预后、3次干预后3个组别。数据用SPSS11.0软件进行统计分析。结果通过3次干预后,适应证不合理率由干预前的20.7%降至3次干预后的6.2%(P<0.05);药物配伍不合理率由干预前的10%降至3次干预后的2.8%(P<0.05);滴注速度不合理率由干预前的21.9%降至3次干预后的6.7%(P<0.05)。住院患者中药注射剂平均费用由干预前的1259.13元下降至3次干预后的820.53元(P<0.05)。结论通过干预临床用药活动对改善合理用药是有效的和可操作的。
Objective To explore the influenc Medicine injection, and the effect after intervention factors of rational drug usage （RDU） of Chinese Traditional of pharmacists on RDU. Methods The usage situation of Huoxue Traditional Chinese Medicine injections of outpatient prescriptions and inpatient case record were retrospectively analyzed. The irrational usage was intervened, and the clinical intervention was divided into 3 groups： before intervention after first intervention, after second intervention, and after third intervention. Data statistics was analyzed by SPSS11.0 software. Results The unreasonable rate of indications dropped from 20. 7% before intervention to 6. 2% after the 3rd intervention （ P 〈 0.05 ）. The unreasonable rate of drug combination dropped from 10% before intervention to 2.8% after 3rd intervention （P 〈 0. 05 ）. The unreasonable rate of intravenous dripping speed dropped from 21. 9% before intervention to 6.7% after 3 d intervention （ P 〈 0.05 ）. The average cost of Huoxue Traditional Chinese Medicine injection of inpatients dropped from 1259.13 yuan to 820.53 yuan after 3rd intervention. Conclusion Improve rational drug usage by the intervention of clinical medication is effective and feasible.
出处
《今日药学》
CAS
2009年第10期30-32,共3页
Pharmacy Today
基金
广东省医院药学研究基金资助项目(编号:2008B010)
广东省中医药管理局建设中医药强省科研课题立项资助项目(编号:2007260)
关键词
中药注射剂
合理用药
干预
Chinese Traditional Medicine injection
rational drug usage
intervention
