【摘要】 目的 驗證臨床藥師對我院中藥注射劑合理使用進行干預的效果。 方法 對比分析2010年臨床藥師干預前后中藥注射劑的合理使用情況，隨機抽取2010年1-6月合格病歷1 000份，設為非干預組；隨機抽取2010年9月-2011年2月合格病歷1 000份，設為干預組；評估臨床藥師的干預作用。 結果 非干預組中藥注射劑的使用率為31.10%，干預組為19.00%，差異有統計學意義（χ2=38.991，P=0.000）；非干預組適應證不合理的為6.00%，干預組為2.10%，差異有統計學意義（χ2=19.570，P=0.000）；非干預組發生不良反應15例，干預組發生3例，兩組不良反應發生率差異有統計學意義（χ2=8.073，P=0.004）；中藥注射劑的用法用量趨于規范。 結論 臨床藥師對中藥注射劑臨床使用的干預行之有效，對促進醫院安全、有效、合理使用中藥注射劑起到了積極作用。【Abstract】 Objective To explore the effects of clinical pharmacists intervention on traditional chinese medicine injection. Methods Compared the rational usage of traditional Chinese medicine injection in 2010 after the intervention of clinical pharmacists. A total of 1 000 clinical case records from January to June 2010 were randomly selected and was named as the non-intervention group; another 1 000 clinical case records from September 2010 to February 2011 were randomly selected and was named as the intervention group. The effect of the clinical pharmacists were evaluated. Results The utilization rate of the Chinese medicine injection was 31.10% in non-intervention group and 19.00% in the intervention group with a significant difference between the two groups (χ2=38.991，P=0.000). The irrationality of indication was 6.00% in non-intervention group and 2.10 in the intervention group with a significant difference between the two groups （χ2=19.570，P=0.000）. The adverse reaction was found in 15 patients in non-intervention group and in three patients in the intervention group with a significant difference between the two groups（χ2=8.073，P=0.004）. The usage and dosage of Chinese traditional medicine injection was tend to be normative. Conclusion The intervention on traditional Chinese medicine injection by clinical pharmacists is effective, which is a important part in promoting the rational use of traditional Chinese medicine injection.
