摘要
目的:为促进妊娠期妇女安全用药,提高药物咨询水平和药学服务质量提供参考。方法:汇总分析首都医科大学附属北京妇产医院用药咨询中心2016年10月至2017年10月的药物咨询记录,按登记患者的年龄、孕周、问题类型及涉及的药物类别进行分类,通过帕累托法则进行分析。结果:共提供药物咨询1545例次,其中营养药467例次(30.23%)、中成药321例次(20.78%)、降糖药212例次(13.72%)、外用药143例次(9.26%)、性激素120例次(7.77%)。咨询问题的类型可分为7类,其中孕期用药对胎儿影响814例次(52.69%)和用法用量489例次(31.65%);孕期用药对胎儿影响类所涉及的药品种类最多,达12种。降糖药是唯一涉及给药途径的药物种类。结论:产科人群的用药咨询所涉及的药物类型及问题分类有鲜明的规律及频次差异,咨询药师宜重点把握主要问题类型及药物,为妊娠期妇女提供更优质的药学服务。
Objective To provide a reference for promoting the safe usage of drug in pregnant women,and improve the level of drug consultation and the quality of pharmaceutical care.Methods From October 2016 to October 2017,the drug consultation records of drug consultation center in Beijing Obstetrics and Gynecology Hospital,Capital Medical University were collected and analyzed.The records classified according to the age of registered patients,gestational weeks,types of problems,and drug categories,and analyzed by Pareto diagram.Results Totally 1545 cases of drug consultation were provided,including 467（30.23%） cases of nutritious drugs,321（20.78%） cases of Chinese patent drug,212（13.72%）cases of hypoglycemic drugs,143（9.26%）cases of drugs for external,and 120（7.77%）cases of sex hormone.The types of counseling problems could be divided into 7 types,of which the effects of drug usage during pregnancy on fetus accounted for 52.69%（814 cases）,and the usage and dosage accounted for 31.65%（489 cases）.The most kinds of drugs（12）were the regimentation of effects of drug usage during pregnancy on fetus.Hypoglycemic drugs were the only kinds of drugs involved in the route administration.Conclusion There is a clear rule and frequency difference between drug counseling and medication classification in gynecology and obstetrics.Consultation pharmacists should focus on the main problem types and related drugs,and provide better quality of pharmaceutical care for patients.
作者
周京伊
盖迪
李轶凡
韩朝宏
种玲莉
冯欣
ZHOU Jing-yi;GAI Di;LI Yi-fan;HAN Chao-hong;ZHONG Ling-li;FENG Xin(Department of Pharmacy,Beijing Obstetrics and Gynecology Hospital,Capital Medical University,Beijing 100026,China)
出处
《临床药物治疗杂志》
2018年第8期39-42,共4页
Clinical Medication Journal
关键词
产科
用药咨询
帕累托图
obstetrics
medication consultation
paretochart
