临床药师参与骨科病区临床药物治疗工作情况分析

摘 要 目的：分析临床药师在骨科病区药物咨询的工作情况，探讨临床药师在骨科开展药学服务工作的特点和效果，进一步提高临床药学服务质量。方法: 收集整理我院骨科临床药师在2013～2015年参与临床药物治疗相关的工作记录，对服务对象、涉及药物、问题类别、结果反馈等方面进行归纳统计和分析。结果:本次研究归纳总结分析了504例临床药师参与临床药物治疗的咨询和建议，抗菌药物、镇痛药物、抗凝药物在骨科的合理临床应用是临床药师在骨科进行临床药学服务工作的重要内容，包括药物选用、药物的用法用量、治疗方案、药物基本信息、注意事项与禁忌证、药理作用、药物不良反应等。临床药师的用药建议经常被医生采纳录入医嘱，临床药师的工作使药物治疗方案更加完善。结论:临床药师参与临床药物治疗工作有利于促进临床合理用药，也有助于临床药师自身素质的培养和提高。

Practice of Clinical Pharmacists in the Drug Therapy of Orthopedics Ward

ABSTRACT Objective: To analyze the role of clinical pharmacists played in the drug consultation and advice in orthopedic ward in order to discuss the work mode and the effects of clinical pharmacists in orthopedic ward and improve the service quality of clinical pharmacy. Methods: The work records related to the drug treatment of clinical pharmacists were collected during January 2013 and December 2015. The aspects of service objects, involving drugs, issue categories and the results of feedback were summarized and analyzed.Results: The study summarized 504 work records of clinical pharmacists participating in the drug treatment in orthopedic ward. The rational use of antimicrobial drugs, analgesics and anticoagulants was the key work for clinical pharmacists. Frequently asked questions were drug selection, dosage, treatment plan, drug information, precautions and contraindications, pharmacological effects, adverse drug reactions and drug interactions. The advices of clinical pharmacists were accepted by orthopedists regularly, and the drug treatment regimes were improved with the help of clinical pharmacists. Conclusion:Clinical pharmacists participating in clinical practice can improve rational pharmacotherapy, and also contribute to the cultivation and improvement of self quality of clinical pharmacist.