摘要
目的探究临床药师参与术后患者自控镇痛泵管理的工作模式以及其取得的成效。方法根据术后镇痛泵工作流程及药学监护路径,采用SPSS22. 0软件对2014年1月至2018年12月于南京鼓楼医院脊柱外科及普外科住院并行择期手术患者的数据进行分析,并从药物经济学的角度对疼痛患者术后镇痛方案进行经济学测算。结果脊柱外科和普外科的PCA使用率均有所上升,患者术后疼痛控制达标率保持在90%以上,且不良反应发生率逐年降低,经过经济学测算,在相似的镇痛效果下,能够合理选择更经济的镇痛方案。结论临床药师参与镇痛泵管理以来,患者自控镇痛泵的药学监护工作提升了术后疼痛管理质量,使患者得到合理、经济和安全的药物治疗。
OBJECTIVE To explore the working mode of clinical pharmacists involved in postoperative patient-controlled analgesia pump management and its effectiveness. METHODS According to the postoperative analgesia pump workflow and pharmaceutical monitoring route,SPS22. 0 software was used to analyze the data of patients undergoing elective surgery in the Department of Spinal Surgery and General Surgery of Nanjing Drum Tower Hospital from January 2014 to December 2018. RESULTS The patient-controlled analgesia( PCA) usage rate in spine surgery and general surgery increased. The postoperative pain control compliance rate remained above 90%,and the incidence of adverse reactions decreased year by year. CONCLUSION Since the clinical pharmacists participated in the management of analgesic pumps,the pharmaceutical monitoring of patient-controlled analgesia pumps has improved the quality of postoperative pain management,enabling patients to receive reasonable,economical and safe drug treatment.
作者
谢菡
马正良
仇毓东
陈正香
范晴晴
王少红
丁艺
葛卫红
XIE Han;MA Zheng-liang;QIU Yu-dong;CHEN Zheng-xiang;FAN Qing-qing;WANG Shao-hong;DING Yi;GE Wei-hong(Department of Pharmacy,Nanjing Drum Tower Hospital, Nanjing 210008 , China;Department of Anesthesiology,Nanjing Drum Tower Hospital, Nanjing 210008 , China;Department of General Surgery,Nanjing Drum Tower Hospital, Nanjing 210008 , China;Department of Orthopedics, Nanjing Drum Tower Hospital, Nanjing 210008 , China)
出处
《中国药学杂志》
CAS
CSCD
北大核心
2019年第19期1622-1625,共4页
Chinese Pharmaceutical Journal
关键词
临床药师
药学服务
患者自控镇痛
clinical pharmacist
pharmaceutical service
patient-controlled analgesia
