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目的:探讨临床药师开展药学服务对老年慢性阻塞性肺疾病(COPD)患者临床疗效的影响。方法:COPD患者192例随机分为试验组(n=100)和对照组(n=92)。对照组患者给予常规治疗,不施加其他干预措施。试验组在对照组基础上,临床药师开展药学服务。比较两组患者入院和出院时COPD评估测试(COPD assessment test,CAT)评分、改良英国医学研究理事会呼吸困难指数(modified British medical research council,m MRC)分级、肺功能指标(FEV1%)。结果:两组患者出院时,CAT评分、m MRC分级均较入院时降低,而FEV1%预计值升高(P<0.05);且试验组患者出院时CAT评分、m MRC分级、FEV1%预计值等指标均优于对照组(P<0.05)。试验组患者出现药物差错和药品不良反应率明显低于对照组。结论:临床药师对老年COPD患者开展药学服务,有助于患者病情康复。
Objective: To investigate the clinical pharmacist clinical pharmacists in elderly patients with chronic obstructive pulmonary disease (COPD) clinical effect. Methods: 192 patients with COPD were randomly divided into experimental group (n = 100) and control group (n = 92). Patients in the control group were treated routinely, with no other interventions. The experimental group on the basis of the control group, clinical pharmacists to carry out pharmaceutical services. The COPD assessment test (CAT) scores on admission and discharge were compared between the two groups. The modified British medical research council mMRC classification and pulmonary function index (FEV1%) were compared. Results: At the time of hospital discharge, the CAT and m MRC scores were lower than those at admission and FEV1% predicted (P <0.05). The CAT, MD MRC, FEV1% And other indicators were better than the control group (P <0.05). Drug error and adverse drug reaction rate in the test group were significantly lower than those in the control group. Conclusion: Clinical pharmacists carry out pharmacy services for elderly patients with COPD, which can help patients recover from illness.