临床药师持续性干预对我院丙氨酰谷氨酰胺使用的效果分析.pdfVIP

中国药物应用与监测 2014 年8 月第11卷第4 期 Chinese Journal of Drug Application and Monitoring, Vol.11, No.4, August 2014 临床药师持续性干预对我院丙氨酰谷氨酰胺使用的效果分析 陈集志，徐　兰，汪启炉（解放军94 医院药学科，江西 南昌 330002 ） [摘要]　目的：探讨临床药师持续性干预对我院丙氨酰谷氨酰胺注射液合理使用的作用与效果。方法：对2013 年第一、二、 三季度所有应用丙氨酰谷氨酰胺注射液的出院病历进行收集与分析，比较干预前后临床使用该药的变化情况。结果：持续性 干预后丙氨酰谷氨酰胺注射液消耗金额占总药品消耗金额的比例为0.53% ，使用率为5.80%，与干预前及第一次干预后比较， P 差异有统计学意义（ 0.05 ）；合理使用率为91.48% ，在用药适应证、溶媒选择、用药疗程等方面与干预前相比差异具有统 P 计学意义（ 0.05 ）。结论：临床药师对我院丙氨酰谷氨酰胺注射液的使用进行持续性干预，使其临床使用规范合理，表明 持续性干预是可行、有效的。 [关键词]　丙氨酰谷氨酰胺；持续性干预；临床药师；效果分析 [ 中图分类号]　R969.3　　 [ 文献标识码]　A　 [ 文章编号]　1672 – 8157(2014)04 – 0231 – 04 Effect analysis of continuous interventions by clinical pharmacists on the rational use of alanyl glutamine CHEN Ji-zhi, XU Lan, WANG Qi-lu(Department of Pharmacy, the 94th Hospital of PLA, Nanchang 330002, China) [ABSTRACT]　Objective: To explore the role of clinical pharmacists in the rational use of alanyl glutamine injections and evaluate the intervention effect. Methods: All the discharge medical orders using alanyl glutamine injections during the first quarter, the second quarter and the third quarter in 2013 were analyzed, and the changes of clinical application of alanyl glutamine injections before and after the intervention were compared. Results: The consumption sum of alanyl glutamine injections accounted for 0.53% of the total. The usage rate was 5.80% after the continuous intervention, the difference before and after the intervention was significant (P 0.05). The rational usage rate was 91.48%, the differences of indications, the choice of solvents, and the course of treatment before and after the intervention were significant (P 0.05). Conclusion: The clinical usage of alanyl glutamine injections was basically reasonable after the continuous interventions by clinical pharmacists, thus the continuous interventions were very necessary and feasible. [KEY WORDS]　Alanyl glutamine; Co