| 王 阳,乌日根,郭春燕,王燕荣,张文旭,任华益.中西药物联合应用的管理对消化内科患者临床用药合理性的影响[J].,2017,17(8):1540-1543 |
| 中西药物联合应用的管理对消化内科患者临床用药合理性的影响 |
| Influence of Active Participation of Pharmacist in The Combination Management of Traditional Chinese Medicine and Western Medicine on Rationality of Drug Use for Patients with Digestive Disease |
| 投稿时间：2016-09-06 修订日期：2016-09-30 |
| DOI：10.13241/j.cnki.pmb.2017.08.036 |
| 中文关键词: 中西药 联合使用 药剂科 消化内科 |
| 英文关键词: Traditional Chinese medicine and Western Medicine Combined use Pharmacy GI Medicine |
| 基金项目:内蒙古自治区科技厅面上项目（2013MS1139） |
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| 中文摘要: |
| 摘要 目的：研究药剂科积极参与下中西药联合使用对消化内科患者用药合理性的影响。方法：选取我院2014年1月至2015年12月收治且确诊为消化性疾病患者184例，通过随机数表法将患者平均分为对照组和实验组，对照组给予临床常规中西药联合治疗，观察并统计临床反应；实验组给予中西药联合治疗，由本院药剂科参与人员、临床医师联合管理。统计并分析两组疗效、用药合理性及不良反应。结果：对照组总有效率为82.60%，明显低于实验组的94.56%（X2=5.944，p=0.015）；对照组用药合理率为77.17%，明显低于实验组的89.13%（X2=5.102，p=0.024）；对照组不良反应合理率为61.96%，明显低于实验组的88.04%（X2=18.026，p<0.001）。结论：药剂科的积极参与提高了中西药联合使用对消化内科患者的疗效，也降低了不良反应的发生率。 |
| 英文摘要: |
| ABSTRACT Objective: To research the rationality of combination use of Traditional Chinese medicine and Western Medicine with active participation of clinical medication for patients with digestive disease. Methods: A total of 184 cases of patients with digestive disease who treated in our hospital between January 2014 and December 2015 were selected in this study. They were divided into control group (n=92) and experimental group (n=92) by the random number table method. The control group was treated with combination of Traditional Chinese medicine and Western Medicine, and the clinical response was observed by the researchers. The experimental group was treated with the combination of Traditional Chinese medicine and Western Medicine, which were jointly administered by the physician and clinical pharmacist. Compare and analyze the efficacy, the rationality of the use of drugs and adverse reactions between two groups. Results: The total effective rate of the control group was 82.60%, significantly lower than that of the experimental group (94.56%) (X2=5.944, P=0.015). The rate of rational drug use in the control group was 77.17%, significantly lower than that of the experimental group (89.13%) (X2=5.102, P=0.024). The rational rate of adverse reaction in control group was 61.96%, significantly lower than in the experimental group (88.04%) (X2=18.026, P<0.001). Conclusion: The active participation of clinical pharmacist improved the curative effects of the combined use of Traditional Chinese medicine and Western Medicine on the patients in the department of gastroenterology, and decreased the incidence of adverse reactions. |
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