摘要
目的：评价临床药师参与大隐静脉曲张手术围术期预防应用抗菌药物管理的效果。方法：选取2010年6～9月（干预前）、2011年6～9月（干预后）和2014年6～9月（巩固期）出院的大隐静脉单纯剥脱术、大隐静脉高位结扎加剥脱术及大隐静脉高位结扎加静脉内激光治疗的所有病例,针对预防应用抗菌药物的合理性进行评价。结果：临床药师参与管理后,大隐静脉曲张手术围术期预防应用抗菌药物在用药指征、药物品种选择、用法用量、给药途径、溶媒及溶媒量、给药时机、用药疗程、联合用药方面改善明显;抗菌药物使用率、平均住院日、抗菌药物比例、药品比例及输液率均明显降低,并得以巩固。结论：临床药师对大隐静脉曲张手术围术期预防应用抗菌药物的干预,提高了抗菌药物合理使用率,对降低患者费用,规范医院管理有一定意义。
Objective： To evaluate the management effect of clinical pharmacist on antibiotics use during perioperative period of great saphenous varicose veins surgery. Methods： The medical records of all the patients undergoing simple great saphenous vein stripping,great saphenous vein high ligation plus simple stripping and saphenous vein ligation plus endovenous laser treatment between June and September in 2010（ before the intervention）,2011（ after the intervention） and 2014（ consolidation period） were selected,and the rationality of prophylactic use of antibiotics during perioperative period was evaluated. Results： After the management of clinical pharmacists,the preventive application of antibiotics during perioperative period was markedly improved in the indication,medicine variety choice,application and dosage,administration route,solvent and solvent dose,administration time,course of treatment and drug combination when compared with that before the intervention. Antibiotics use ratio,average hospitalization days,antibiotics ratio,drug ratio and infusion ratio were reduced obviously,which could be consolidated. Conclusion： The intervention of clinical pharmacists in antibiotics use during perioperative period of great saphenous varicose veins surgery improves the reasonable use ratio of antibiotics,and makes certain significance in the cost reduction for patients and the specification for hospital management.
出处
《中国药师》
CAS
2016年第4期697-700,共4页
China Pharmacist
基金
浙江省医药卫生科技计划项目(编号:2012KYB227)
金华市科学技术研究计划项目(编号:2012-3-027)
关键词
临床药师
大隐静脉曲张手术
围术期
抗菌药物
合理用药
Clinical pharmacists
Great saphenous varicose veins surgery
Perioperative period
Antibiotics
Reasonable drug use
