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目的交流基层医院初步开展临床药学工作的实践与收获。方法基层医院临床药师通过处方点评、病历点评、抗菌药物临床应用监测与干预等基础工作,逐步开展临床药学工作。结果通过临床药师初步开展临床药学工作,使得临床科室合理用药意识提高,体现在处方用药合格率、病历用药合格率有显著提高;在抗菌药物合理使用方面,使得住院患者抗菌药物使用率、门急诊抗菌药物处方比例、一类切口围术期预防用抗生素比例、抗菌药物使用强度等方面都逐步降低。结论基层医院临床药师利用医院的现有条件,开展基础性临床药学工作,可以提高整个医院合理用药水平,显著降低全院的药占比。临床药师要深入临床,利用药学专业优势,参与临床查房和药物会诊;指导护士、患者保管和正确使用药品,只有这样才可以更有效地开展合理用药,更有利于临床药师成长。
Objective To exchange information on the practice and harvest of clinical pharmacy in primary hospitals. Methods Clinical pharmacists in grassroots hospitals gradually carried out clinical pharmacy through prescription review, medical records review, clinical application monitoring and intervention of antimicrobial agents and other basic work. Results Through clinical pharmacists, clinical pharmacology was initially carried out, which led to the rational use of drugs in clinical departments. This was reflected in the passing rate of prescription drugs and significantly improved the pass rate of medical records. In terms of the rational use of antibacterials, the utilization rate of antibacterials in inpatients, Antibacterial prescription ratio, a class of perioperative antibiotic prophylaxis ratio, the use of antimicrobial agents and other aspects are gradually reduced. Conclusion The primary pharmacists who use the current conditions of the hospital to carry out basic clinical pharmacy work can improve the reasonable level of medication in the whole hospital and significantly reduce the proportion of medicine in the hospital. Clinical pharmacists to go deep into the clinic, the use of pharmacy advantages, participate in clinical ward and drug consultation; guide nurses, patients custody and proper use of drugs, the only way to carry out rational use of drugs more effective and more conducive to the growth of clinical pharmacists.